One provider matched this Medicaid ID.
South Carolina Medicaid ID TH1709 resolves to a single NPI record. Open the full profile for complete detail.
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Other
- 20-2312101· Issued by SELECT HEALTH
- 607756102SC· Issued by DEPT OF LABOR
- 190244SC· Issued by MEDCOST
- 20-2312101SC· Issued by UHC
- 20-2312101SC· Issued by GREAT WEST
- 20-2312101SC· Issued by FOCUS
- 20-2312101SC· Issued by CHAMPUS-TRICARE
- 20-2312101SC· Issued by DEPT OF LABOR
- 20-2312101SC· Issued by KANAWHA
- 9799717SC· Issued by CIGNA
- 20-2312101SC· Issued by TAX ID
- 607756100SC· Issued by DEPT OF LABOR
- 7761758SC· Issued by AETNA
- 20-2312101SC· Issued by BLUECHOICE
- 20-2312101SC· Issued by BCBS OF SOUTH CAROLINA
- 607756103SC· Issued by DEPT OF LABOR
- 20-2312101SC· Issued by PREMIER
- 20-2312101SC· Issued by CAROLINA CARE PLAN
Medicaid
- TH1709SC
Source: NPPES public registry.
Medicare enrollment
This provider holds 2 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.
Practitioner
- I20060822000304Physical Therapist in Private PracticeSC
- I20210803000375Physical Therapist in Private PracticeNC
Source: CMS PECOS public enrollment file.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.