Northeast Elite Medical Clinic, Llc - Medicare Primary Care in Columbia, SC

Northeast Elite Medical Clinic, Llc is a medicare enrolled primary clinic (Nurse Practitioner - Family) in Columbia, South Carolina. The current practice location for Northeast Elite Medical Clinic, Llc is 136-4 Forum Dr, 1018, Columbia, South Carolina. For appointments, you can reach them via phone at (803) 836-8679. The mailing address for Northeast Elite Medical Clinic, Llc is 136-4 Forum Dr, 1018, Columbia, South Carolina and phone number is (803) 836-8679.

Northeast Elite Medical Clinic, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497322325. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 836-8679.

Contact Information

Northeast Elite Medical Clinic, Llc
136-4 Forum Dr
1018
Columbia
SC 29229
(803) 836-8679
(803) 800-2007

Map and Direction


Primary Care Clinic Profile

Full NameNortheast Elite Medical Clinic, Llc
SpecialityNurse Practitioner
Location136-4 Forum Dr, Columbia, South Carolina
Authorized Official Name and PositionPaulette Rumph (CEO)
Authorized Official Contact8038368679
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Northeast Elite Medical Clinic, Llc
136-4 Forum Dr
1018
Columbia
SC 29229

Ph: (803) 836-8679
Northeast Elite Medical Clinic, Llc
136-4 Forum Dr
1018
Columbia
SC 29229

Ph: (803) 836-8679

NPI Details:

NPI Number1497322325
Provider Enumeration Date06/09/2021
Last Update Date06/09/2021

Medicare PECOS Information:

Medicare PECOS PAC ID6507252186
Medicare Enrollment IDO20220407001086

Medical Identifiers

Medical identifiers for Northeast Elite Medical Clinic, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497322325NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261Q00000XClinic/center (* (Not Available))Secondary
261QU0200XClinic/center - Urgent Care (* (Not Available))Secondary
363LF0000XNurse Practitioner - Family (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Northeast Elite Medical Clinic, Llc acts as a billing entity for following providers:
Provider NamePaulette O'neal Rumph
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356821904
PECOS PAC ID: 4284987587
Enrollment ID: I20181105000440

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.