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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: October 25, 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 Health, Ambetter of North Carolina and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Viarda Polanco Zacarias reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Self Medical Group
0.2 mi
Urology
109 LINER DR
Greenwood, SC 29646
  • Reassigned Medicare billing, South Carolina enrollment
  • 560 clinicians in this Medicare group
NPI 1871809855 (864) 227-6401
Self Regional Healthcare
0.3 mi
Obstetrics & Gynecology
106 LINER DR
Greenwood, SC 29646
  • Reassigned Medicare billing, South Carolina enrollment
  • 231 clinicians in this Medicare group
NPI 1225838733 (864) 227-6371
Eau Claire Cooperative Health Center, Inc.
33 mi
Federally Qualified Health Center (FQHC)
2525 KINARD ST
Newberry, SC 29108
  • Reassigned Medicare billing, South Carolina enrollment
  • 145 clinicians in this Medicare group
NPI 1891007233 (803) 405-0220

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 LEOPARD 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.

Which organizations bill Medicare for Viarda Polanco Zacarias's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Viarda Polanco Zacarias reassigns Medicare benefits to 3 organizations: Self Medical Group (Greenwood, SC), Self Regional Healthcare (Greenwood, SC) and Eau Claire Cooperative Health Center, Inc. (Newberry, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Viarda Polanco Zacarias's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Viarda Polanco Zacarias accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 1 other insurer 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.