Etas Clinic, P.c. - Medicare Primary Care in Anderson, SC

Etas Clinic, P.c. is a medicare enrolled primary clinic (Internal Medicine) in Anderson, South Carolina. The current practice location for Etas Clinic, P.c. is 400 N Fant St, Suite A, Anderson, South Carolina. For appointments, you can reach them via phone at (864) 226-5260. The mailing address for Etas Clinic, P.c. is 400 N Fant St, Suite A, Anderson, South Carolina and phone number is (864) 226-5260.

Etas Clinic, P.c. is licensed to practice in South Carolina (license number 21501). The clinic also participates in the medicare program and its NPI number is 1699724849. 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) 226-5260.

Contact Information

Etas Clinic, P.c.
400 N Fant St
Suite A
Anderson
SC 29621-5720
(864) 226-5260
(864) 226-5863

Primary Care Clinic Profile

Full NameEtas Clinic, P.c.
SpecialityInternal Medicine
Location400 N Fant St, Anderson, South Carolina
Authorized Official Name and PositionEkong I. Eta (CEO)
Authorized Official Contact8642265260
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Etas Clinic, P.c.
400 N Fant St
Suite A
Anderson
SC 29621-5720

Ph: (864) 226-5260
Etas Clinic, P.c.
400 N Fant St
Suite A
Anderson
SC 29621-5720

Ph: (864) 226-5260

NPI Details:

NPI Number1699724849
Provider Enumeration Date05/07/2006
Last Update Date12/04/2007

Medicare PECOS Information:

Medicare PECOS PAC ID2567620099
Medicare Enrollment IDO20120229000713

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Medical Identifiers

Medical identifiers for Etas Clinic, P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699724849NPI-NPPES
215011MedicaidSC
GP2896MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 21501 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Etas Clinic, P.c. acts as a billing entity for following providers:
Provider NameEkong Ito Eta
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1598945081
PECOS PAC ID: 6800821026
Enrollment ID: I20050927000842

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