Highway To Hope Waccamaw Primary Care - Medicare Primary Care in Conway, SC

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Highway To Hope Waccamaw Primary Care is a medicare enrolled primary clinic (Nurse Practitioner - Primary Care) in Conway, South Carolina. The current practice location for Highway To Hope Waccamaw Primary Care is 164 Waccamaw Medical Park Dr, Conway, South Carolina. For appointments, you can reach them via phone at (843) 347-4888. The mailing address for Highway To Hope Waccamaw Primary Care is 2414 Bull St, Columbia, South Carolina and phone number is (803) 898-8461.

Highway To Hope Waccamaw Primary Care is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1417557471. 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 (843) 347-4888.

Contact Information

Highway To Hope Waccamaw Primary Care
164 Waccamaw Medical Park Dr
Conway
SC 29526-8903
(843) 347-4888
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameHighway To Hope Waccamaw Primary Care
SpecialityNurse Practitioner
Location164 Waccamaw Medical Park Dr, Conway, South Carolina
Authorized Official Name and PositionTracy L Turner (CONTROLLER)
Authorized Official Contact8038988503
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Highway To Hope Waccamaw Primary Care
2414 Bull St
Columbia
SC 29201-1906

Ph: (803) 898-8461		Highway To Hope Waccamaw Primary Care
164 Waccamaw Medical Park Dr
Conway
SC 29526-8903

Ph: (843) 347-4888

NPI Details:

NPI Number1417557471
Provider Enumeration Date10/29/2020
Last Update Date12/18/2020

Medicare PECOS Information:

Medicare PECOS PAC ID9032021175
Medicare Enrollment IDO20040303000705

Medical Identifiers

Medical identifiers for Highway To Hope Waccamaw Primary Care such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417557471NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QP2300XClinic/center - Primary Care (* (Not Available))Secondary
363LP2300XNurse Practitioner - Primary Care (* (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. Highway To Hope Waccamaw Primary Care acts as a billing entity for following providers:
Provider NameVioletta Dorota Czepowicz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1356325435
PECOS PAC ID: 1254239338
Enrollment ID: I20031229000172
Provider NameRobert Hotchkiss
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1497843882
PECOS PAC ID: 4688565542
Enrollment ID: I20040322001108
Provider NameShalini Mittal
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1538198676
PECOS PAC ID: 7517942048
Enrollment ID: I20040621000312
Provider NameJanice C Reynolds
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699723106
PECOS PAC ID: 4082664677
Enrollment ID: I20050201000301
Provider NameSally S Blake
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1750432985
PECOS PAC ID: 3779529458
Enrollment ID: I20050705000156
Provider NameRupa Shetty
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962428235
PECOS PAC ID: 8022064989
Enrollment ID: I20051130000256
Provider NameAyanna Swinton Jamison
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053359851
PECOS PAC ID: 2163445735
Enrollment ID: I20060110000298
Provider NameNancy Elizabeth Hoevenaar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376576447
PECOS PAC ID: 6901819242
Enrollment ID: I20060803000116
Provider NameValerie M Mosley
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1992896559
PECOS PAC ID: 5698772606
Enrollment ID: I20061106000335
Provider NameMelanie Taylor Hatzis
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154424398
PECOS PAC ID: 0345343695
Enrollment ID: I20070307000427
Provider NameMelinda E Edwards
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1245252774
PECOS PAC ID: 1254435027
Enrollment ID: I20070404000108
Provider NameKathleen A O Leary
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366521684
PECOS PAC ID: 5991765083
Enrollment ID: I20080513000446
Provider NameChioma R Ekechukwu
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1376650275
PECOS PAC ID: 4587735410
Enrollment ID: I20080619000389
Provider NameMichael K Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1154490084
PECOS PAC ID: 4587727946
Enrollment ID: I20090112000055
Provider NamePravina Sheth
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700810561
PECOS PAC ID: 5799848750
Enrollment ID: I20090116000499
Provider NameHossan A Hassan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1346226453
PECOS PAC ID: 4688727340
Enrollment ID: I20090729000258
Provider NameJohn Pybass
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1891913455
PECOS PAC ID: 3577695733
Enrollment ID: I20100723000229
Provider NameStephen J Enns
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487711354
PECOS PAC ID: 1759450158
Enrollment ID: I20100827000729
Provider NameRoxie D Bosier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1588966527
PECOS PAC ID: 2961688718
Enrollment ID: I20110512000543
Provider NameChristian F Reusche
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1932306545
PECOS PAC ID: 3678742244
Enrollment ID: I20110816000705
Provider NameJohn V Custer
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1578679452
PECOS PAC ID: 3476727140
Enrollment ID: I20111114000872
Provider NameMargaret E Rittenbury
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1700833274
PECOS PAC ID: 6204002983
Enrollment ID: I20111230000028
Provider NamePhilip Sinato
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1053518621
PECOS PAC ID: 9436318821
Enrollment ID: I20120303000035
Provider NameKontasha Shamika Wise
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679850044
PECOS PAC ID: 5395906960
Enrollment ID: I20120409000685
Provider NameGregory E Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1023063377
PECOS PAC ID: 3779570957
Enrollment ID: I20120410000672
Provider NameLori Gerding
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1801834726
PECOS PAC ID: 3678592441
Enrollment ID: I20120411000833
Provider NameAmr Abdelghany Khalafallah
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1013018308
PECOS PAC ID: 4082685136
Enrollment ID: I20120627000499
Provider NameDaniel J Uderitz
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1295963437
PECOS PAC ID: 1658528815
Enrollment ID: I20120823000718
Provider NameKristi L West
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1245273663
PECOS PAC ID: 6305080425
Enrollment ID: I20130911000540
Provider NameJon Kennon Peters
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720320740
PECOS PAC ID: 2860626470
Enrollment ID: I20131015001627
Provider NameKurt Klauburg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1659370021
PECOS PAC ID: 2163458738
Enrollment ID: I20140221001436
Provider NameTammy A Hightower
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144245739
PECOS PAC ID: 6204066830
Enrollment ID: I20140227001453
Provider NameMildred L Martin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942267703
PECOS PAC ID: 1052543071
Enrollment ID: I20140407000219
Provider NameTamara L Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1295802304
PECOS PAC ID: 0840412581
Enrollment ID: I20141112001369
Provider NameDaniel John Balog
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1710036470
PECOS PAC ID: 4688998263
Enrollment ID: I20150130002282
Provider NameGretchen Enright
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1043393051
PECOS PAC ID: 8022311927
Enrollment ID: I20160127001600
Provider NameKhoa Dang Tran
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1346458908
PECOS PAC ID: 8628977675
Enrollment ID: I20160127002348
Provider NameMartha G Smith
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1790822450
PECOS PAC ID: 4880587328
Enrollment ID: I20160225001846
Provider NameStephanie L Price
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1487948774
PECOS PAC ID: 7113163601
Enrollment ID: I20160815001282
Provider NameMeenakshi Parmar
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1417170143
PECOS PAC ID: 6709953417
Enrollment ID: I20161205001740
Provider NameJudy G Figueroa
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1669657987
PECOS PAC ID: 8921180217
Enrollment ID: I20170926002594
Provider NameTecora A Williams
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1598030868
PECOS PAC ID: 9830458256
Enrollment ID: I20180110002505
Provider NameShadi Duchesne
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1720208010
PECOS PAC ID: 7214964022
Enrollment ID: I20180212002557
Provider NameRhonda Michelle Cartee
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730159864
PECOS PAC ID: 7618930553
Enrollment ID: I20190123000175
Provider NamePatrick Wiita
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1841558772
PECOS PAC ID: 8921341017
Enrollment ID: I20190513000597
Provider NameEbele Catherine Compean
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1033591979
PECOS PAC ID: 4587953286
Enrollment ID: I20190925001330
Provider NameJared Joshua Carbone
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164810610
PECOS PAC ID: 9638400245
Enrollment ID: I20191014000873
Provider NameElizabeth Ann Holloway Jensen
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548230220
PECOS PAC ID: 8820421753
Enrollment ID: I20191209000422
Provider NameShalika W Guram
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1174904346
PECOS PAC ID: 9638468390
Enrollment ID: I20200206000573
Provider NameWinston E Dill
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134180243
PECOS PAC ID: 6608768544
Enrollment ID: I20200527000364
Provider NameKevin Gormley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1962567552
PECOS PAC ID: 9931467123
Enrollment ID: I20200918001577
Provider NameKeisha Sharie Yarborough
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1982229464
PECOS PAC ID: 3173942570
Enrollment ID: I20201005002092
Provider NameDerenda Beasley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1386120343
PECOS PAC ID: 3072934512
Enrollment ID: I20210208000174
Provider NameTongii Shavers
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1962594481
PECOS PAC ID: 6608820261
Enrollment ID: I20210624003214
Provider NameOgechi Lebeanya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1316537285
PECOS PAC ID: 7416341318
Enrollment ID: I20220217002769
Provider NameRekha S Prasad
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1164480745
PECOS PAC ID: 1658353396
Enrollment ID: I20220614002517
Provider NameNitin Kamble
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1811214737
PECOS PAC ID: 9436456142
Enrollment ID: I20221230000542
Provider NameMurtuza Vali
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1366515009
PECOS PAC ID: 1658427422
Enrollment ID: I20230306002167
Provider NameWalter Schmalstieg
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740209683
PECOS PAC ID: 7618016262
Enrollment ID: I20230727000991
Provider NameKimberly Latashia Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1861197337
PECOS PAC ID: 1052775954
Enrollment ID: I20230911003941

Reviews and Comments


Nurse Practitioner in Conway, SC

Clinic Services Of South Carolina Pc
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-347-7111    
Sasser Medical Associates Llc
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Medicare: Not Enrolled in Medicare
Practice Location: 2361 Cypress Cir, Conway, SC 29526
Phone: 843-347-7291    Fax: 843-347-9309
Health Care Partners Of South Carolina, Inc.
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Medicare: Medicare Enrolled
Practice Location: 1608 N. Main St, Conway, SC 29526
Phone: 843-248-4700    
Cmc Primary Care Highway 90
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 4300 Highway 90, Conway, SC 29526
Phone: 843-399-3377    
Health Care Partners Of South Carolina, Inc.
Primary Care Clinic
Medicare: Medicare Enrolled
Practice Location: 243 Singleton Ridge Rd, Units E&f, Conway, SC 29526
Phone: 843-248-4700    
Cmc Primary Care Church Street
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 2701 Church St, Ste A, Conway, SC 29526
Phone: 843-365-0295    Fax: 843-365-0354
Coastal Carolina University Student Health Services
Primary Care Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 204 University Blvd, Conway, SC 29526
Phone: 843-349-6543    

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.