Jack Wilson Cleland, MD - Medicare Pediatrics in Spartanburg, SC

Jack Wilson Cleland, MD is a medicare enrolled "Pediatrics" physician in Spartanburg, South Carolina. His current practice location is 1330 Boiling Springs Rd, Suite 1300, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-6345.

Jack Wilson Cleland is licensed to practice in South Carolina (license number 30778) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912166315.

Contact Information

Jack Wilson Cleland, MD
1330 Boiling Springs Rd, Suite 1300,
Spartanburg, SC 29303-4201
(864) 560-6345
(864) 560-6054

Map and Direction




Physician's Profile

Full NameJack Wilson Cleland
GenderMale
SpecialityPediatrics
Location1330 Boiling Springs Rd, Spartanburg, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912166315
  • Provider Enumeration Date: 06/02/2008
  • Last Update Date: 12/11/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8820234693
  • Enrollment ID: I20140204001284

Medical Identifiers

Medical identifiers for Jack Wilson Cleland such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912166315NPI-NPPES
307787MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics LL30778 (South Carolina)Secondary
208000000XPediatrics 30778 (South Carolina)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jack Wilson Cleland allows following entities to bill medicare on his behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238
Entity NameSpartanburg Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043309917
PECOS PAC ID: 3072425297
Enrollment ID: O20031105000129
Entity NameCherokee Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285275305
PECOS PAC ID: 5991041212
Enrollment ID: O20191220002041

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Wilson Cleland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jack Wilson Cleland, MD
Po Box 743070,
Atlanta, GA 30374-3070

Ph: (864) 560-4304
Jack Wilson Cleland, MD
1330 Boiling Springs Rd, Suite 1300,
Spartanburg, SC 29303-4201

Ph: (864) 560-6345

Reviews and Comments


Pediatrics Doctors in Spartanburg, SC

Dr. Marcia L Parra, MD
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Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301
Phone: 864-560-9600    Fax: 864-560-9613
Mrs. Donna P Smith, MD
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Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301
Phone: 864-562-5400    Fax: 864-562-5430
Everett Lee Belvin Ii, MD
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Practice Location: 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307
Phone: 864-582-8135    Fax: 864-573-9757
Ernest N Mistr, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1330 Boiling Springs Rd, Suite 1300, Spartanburg, SC 29303
Phone: 864-560-6345    
Mrs. Alanna Ahlers Nutz, M.D.
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Medicare: Medicare Enrolled
Practice Location: 3020 Reidville Rd, Suite B, Spartanburg, SC 29301
Phone: 864-272-0388    Fax: 864-213-9237
Christine Hidalgo Philpott, M.D.
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Medicare: Medicare Enrolled
Practice Location: 201 E Broad St, Spartanburg, SC 29306
Phone: 864-707-2135    Fax: 864-707-2136
George Chester Glenn Iii, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307
Phone: 864-582-8135    Fax: 864-573-9757

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.