Tedra Gilmore, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Laurinburg, North Carolina. She went to Drexel University College Of Medicine and graduated in 2002 and has 22 years of diverse experience with area of expertise as Obstetrics/gynecology. She is a member of the group practice Scotland Memorial Hospital, Inc and her current practice location is
105 Mcalpine Ln, Laurinburg, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 504-8530.
Tedra Gilmore is licensed to practice in North Carolina (license number 2022-02131) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1205928223.
Physician's Profile
| Full Name | Tedra Gilmore |
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| Gender | Female |
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| Speciality | Obstetrics/gynecology |
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| Experience | 22 Years |
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| Location | 105 Mcalpine Ln, Laurinburg, North Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tedra Gilmore attended and graduated from Drexel University College Of Medicine in 2002
NPI Data:
- NPI Number: 1205928223
- Provider Enumeration Date: 09/28/2006
- Last Update Date: 02/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729164439
- Enrollment ID: I20230224000138
Medical Identifiers
Medical identifiers for Tedra Gilmore such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205928223 | NPI | - | NPPES |
| 278400900 | Medicaid | FL | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207V00000X | Obstetrics & Gynecology | ME 98980 (Florida) | Secondary |
| 207V00000X | Obstetrics & Gynecology | 2022-02131 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Scotland Memorial Hospital, Inc | 0648208504 | 96 |
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. Tedra Gilmore allows following entities to bill medicare on her behalf.
| Entity Name | Scotland Memorial Hospital, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033103767
PECOS PAC ID: 0648208504
Enrollment ID: O20031105000382 |
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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. Tedra Gilmore 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 Address | Practice Location Address |
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Tedra Gilmore, MD
7141 Security Blvd,
Baltimore, MD 21244-1800
Ph: (800) 777-7904 | Tedra Gilmore, MD
105 Mcalpine Ln,
Laurinburg, NC 28352-4637
Ph: (910) 504-8530 |
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