Alicia Pendergrass, FNP - Medicare Nurse Practitioner in Irmo, SC

Alicia Pendergrass, FNP is a medicare enrolled "Nurse Practitioner - Obstetrics & Gynecology" in Irmo, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Lexington Health Inc and her current practice location is 1 Wellness Blvd Ste 203, Irmo, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 749-9920.

Alicia Pendergrass is licensed to practice in South Carolina (license number 19686) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1063883767.

Contact Information

Alicia Pendergrass, FNP
1 Wellness Blvd Ste 203,
Irmo, SC 29063-2873
(803) 749-9920
(803) 749-9916



Provider's Profile

Full NameAlicia Pendergrass
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location1 Wellness Blvd Ste 203, Irmo, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alicia Pendergrass graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1063883767
  • Provider Enumeration Date: 10/07/2015
  • Last Update Date: 12/20/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981904398
  • Enrollment ID: I20151207002142

Medical Identifiers

Medical identifiers for Alicia Pendergrass such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1063883767NPI-NPPES
NP3611MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LX0001XNurse Practitioner - Obstetrics & Gynecology 19686 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Lexington Medical CenterWest columbia, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lexington Health Inc2567872070753

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alicia Pendergrass allows following entities to bill medicare on her behalf.
Entity NameVitality Medical Centers Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1982999249
PECOS PAC ID: 5890964340
Enrollment ID: O20110818000025

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Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alicia Pendergrass is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alicia Pendergrass, FNP
Po Box 6069,
West Columbia, SC 29171-6069

Ph: (803) 749-9920
Alicia Pendergrass, FNP
1 Wellness Blvd Ste 203,
Irmo, SC 29063-2873

Ph: (803) 749-9920

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Nurse Practitioner Nurses in Irmo, SC

Amanda Dudley, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Wellness Blvd Ste 109, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Erin Faulkenberry Siciliano, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Ms. Louise C. Holmes, MN,RN, CANP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 7430 College St, Irmo, SC 29063
Phone: 803-732-4001    Fax: 803-732-2123
Mrs. Stefanie Lee Gunn, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Mrs. Rachel Strange, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063
Phone: 803-749-1111    Fax: 803-749-0050
Janeen Jensen Wood, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063
Phone: 803-749-3840    

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