Individual provider Active NPI

Elliott Joseph Bettman, M.D.

  • Internal Medicine Physician
  • Conway, SC
National Provider Identifier
1144325804
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
26541 Issued in SC
Practice address
1608 Main St
Conway, SC 29526-3572
Phone
(843) 248-4700
Fax
(843) 248-3145
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 26541 SC Primary

Addresses

Primary practice location

1608 Main St
Conway, SC 29526-3572

Mailing address

1608 Main St
Conway, SC 29526-3572
Phone (843) 248-4700

Other identifiers 1

IdentifierTypeStateIssuer
265411MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140422000498 MI Practitioner - Internal Medicine 0042341042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wellhealth Medical Associates P CGroup PAC ID 9537323464, 6 clinicians

Practice addresses (Care Compare)

1202 Walton Blvd
Rochester Hills, MI 48307-6918
Phone (248) 266-6073

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26541SCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellhealth Medical Associates P C Family Medicine CurrentSince Apr 1, 2014 Accepting new patients

Locations

265 Main St
Belleville, MI 48111
Phone (248) 266-6073

1202 Walton Blvd
Ste 212
Rochester Hills, MI 48307
Phone (248) 266-6073

1202 Walton Blvd
Ste 205
Rochester Hls, MI 48307
Phone (248) 266-6073

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1144325804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1608 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-248-4700",
            "fax_number": "843-248-3145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1608 MAIN ST",
            "city": "CONWAY",
            "state": "SC",
            "postal_code": "295263572",
            "telephone_number": "843-248-4700",
            "fax_number": "843-248-3145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BETTMAN",
        "first_name": "ELLIOTT",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "26541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "265411",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, SC

Sources for this page

Verify at the official NPI Registry.