Rosa Clark Medical Center - Medicare Primary Care in Seneca, SC

Rosa Clark Medical Center is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Seneca, South Carolina. The current practice location for Rosa Clark Medical Center is 301 Memorial Dr, Seneca, South Carolina. For appointments, you can reach them via phone at (864) 882-4629. The mailing address for Rosa Clark Medical Center is 301 Memorial Dr, Seneca, South Carolina and phone number is (864) 614-5617.

Rosa Clark Medical Center is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1508903394. 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 (864) 882-4629.

Contact Information

Rosa Clark Medical Center
301 Memorial Dr
Seneca
SC 29672
(864) 882-4629
(864) 882-4478

Map and Direction


Primary Care Clinic Profile

Full NameRosa Clark Medical Center
SpecialityClinic/Center
Location301 Memorial Dr, Seneca, South Carolina
Authorized Official Name and PositionJamie Shannon Lee (CHIEF FINANCIAL OFFICER)
Authorized Official Contact8646145617
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Rosa Clark Medical Center
301 Memorial Dr
Seneca
SC 29672-9491

Ph: (864) 614-5617
Rosa Clark Medical Center
301 Memorial Dr
Seneca
SC 29672

Ph: (864) 882-4629

NPI Details:

NPI Number1508903394
Provider Enumeration Date01/31/2007
Last Update Date11/03/2023

Medicare PECOS Information:

Medicare PECOS PAC ID2466741657
Medicare Enrollment IDO20160511000856

Medical Identifiers

Medical identifiers for Rosa Clark Medical Center such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508903394NPI-NPPES
2125083OtherPK

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
333600000XPharmacy (* (Not Available))Secondary
3336C0002XPharmacy - Clinic Pharmacy 3129 (South Carolina)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Rosa Clark Medical Center acts as a billing entity for following providers:
Provider NameCarol Meltzer Beckenhauer
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013085851
PECOS PAC ID: 3173524873
Enrollment ID: I20070124000020
Provider NameKaren Lynn Rice Canipe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477720159
PECOS PAC ID: 0941374540
Enrollment ID: I20080730000711
Provider NameWilliam E Dukes
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346281912
PECOS PAC ID: 8729122189
Enrollment ID: I20100223000477
Provider NamePaul Thompson
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992742902
PECOS PAC ID: 0345418208
Enrollment ID: I20110719000820
Provider NameRuthanne Marie Dahlheimer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104054204
PECOS PAC ID: 1557519907
Enrollment ID: I20120910000907
Provider NameAmanda Carelock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336779362
PECOS PAC ID: 9133546229
Enrollment ID: I20200903002394
Provider NameTimothy Wayne Moon
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1215957832
PECOS PAC ID: 8729072046
Enrollment ID: I20230605000222
Provider NameKimberly L Yost
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598282501
PECOS PAC ID: 9638578560
Enrollment ID: I20230901000821
Provider NameCarolyn Schmutz Leonard
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1356896989
PECOS PAC ID: 6002197167
Enrollment ID: I20250501001454

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.