Individual ProviderCornelia BeckhamNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203(800) 491-0909PECOS EnrollmentBased on the most recent information from CMS, provider Cornelia Beckham is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1598331027Provider TypeIndividualFull NameBeckham, CorneliaCredentialAPRNGenderFemaleSole ProprietorNoEnumeration Date6/3/2021Last Updated5/8/2024Contact InformationPractice LocationPractice AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203Phone(800) 491-0909Fax(843) 767-9313Mailing LocationMailing AddressSc House Calls Inc., 111 Doctors Cir., Columbia, SC 29203Phone(800) 491-0909Fax(843) 767-9313Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense24764South CarolinaCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicenseF02211101South CarolinaProvider IdentifiersIDDescriptionIssuerIDNP7868DescriptionMedicaidIssuerUnlistedSouth Carolina