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VIARDA LICELOT POLANCO ZACARIAS M.D
NPI 1902202096
Pediatrics in Greenwood, SC

Active since November 17, 2014PECOS Enrolled
113 LINER DR, GREENWOOD, SC 29646(864) 941-8170 Get Directions Write a Review

NPPES record last updated: February 2, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Viarda Licelot Polanco Zacarias M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIARDA LICELOT POLANCO ZACARIAS M.D (NPI 1902202096) is an individual pediatrics provider in Greenwood, South Carolina, licensed in South Carolina (MMD 37947 MD) and active in the NPI registry since November 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Greenwood.

NPPES Registry Identity

NPI1902202096
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameVIARDA LICELOT POLANCO ZACARIASCredential: M.D
Location Address113 LINER DRGreenwood, SC 29646-2311
Mailing Address2525 Kinard StNewberry, SC 29108-2909 · (803) 405-0220
Phone(864) 941-8170
Sole ProprietorNo
Enumeration DateNovember 17, 2014
Last NPPES UpdateFebruary 2, 2024
NPPES CertifiedFebruary 2, 2024
✔ NPI 1902202096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in SC · MMD 37947 MD
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
113 LINER DR, Greenwood, SC 29646
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Secondary Practice Location 1

Location 1210 Wells AveGreenwood, SC 29646-3843 · Phone (864) 943-4279 · Fax (864) 223-2642

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Viarda Licelot Polanco Zacarias M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29646 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. STEPHANIE HUNTER SCHAFER FNP-C, IBCLC
Nurse Practitioner (Family)
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 981-8170
BROOKLYN BRUCE FNP-C
Nurse Practitioner (Family)
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 941-8170
ANGELA R O'DELL FNP
Nurse Practitioner (Family)
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 941-8170
MRS. BRENDA JANE WULFEKOTTE FNP
Nurse Practitioner (Pediatrics)
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 941-8170
ANNA GRACE EHNEY PA-C
Physician Assistant
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 941-8170
EMILY ASKEW ROBBINS APRN
Nurse Practitioner (Pediatrics)
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 941-8170
MR. JUAN MIGUEL BONETTI M.D.
Pediatrics
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 941-8170
MRS. ASHLEY PETRUS SMITH LMSW
Social Worker
113 LINER DR
GREENWOOD, SC 29646
Greenwood County (864) 330-8235

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Viarda Polanco Zacarias's NPI number?

The NPI number for Viarda Polanco Zacarias is 1902202096. It was assigned to this individual provider in the NPPES registry on November 17, 2014.

Where is Viarda Polanco Zacarias located?

Viarda Polanco Zacarias practices at 113 Liner Dr, Greenwood, SC 29646. The listed phone number is (864) 941-8170.

What is Viarda Polanco Zacarias's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Viarda Polanco Zacarias enrolled in Medicare?

Yes. Viarda Polanco Zacarias is registered in the Medicare PECOS enrollment system.

What insurance does Viarda Polanco Zacarias accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Viarda Polanco Zacarias as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Viarda Polanco Zacarias was last updated on February 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.