Medrina B Gilliam, DDS in Florence, SC - Medicare Dentist Provider

Medrina B Gilliam, DDS is a medicare enrolled "Dentist - General Practice" provider in Florence, South Carolina. Her current practice location is 3217 Lakeshore Dr, Florence, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 420-6344.

Medrina B Gilliam is licensed to practice in South Carolina (license number 2919) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1952371783.

Contact Information

	Medrina B Gilliam, DDS
	3217 Lakeshore Dr, Florence, SC 29501-8231
	(803) 420-6344
	(843) 673-0024

Map and Direction

Healthcare Provider's Profile

Full Name	Medrina B Gilliam
Gender	Female
Speciality	Dentist - General Practice
Location	3217 Lakeshore Dr, Florence, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1952371783
Provider Enumeration Date: 01/24/2006
Last Update Date: 03/14/2025

Medicare PECOS Information:

PECOS PAC ID: 5193161172
Enrollment ID: I20240313000482

Medical Identifiers

Medical identifiers for Medrina B Gilliam such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952371783	NPI	-	NPPES
Z29194	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	2919 (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. Medrina B Gilliam allows following entities to bill medicare on her behalf.

Entity Name	Mashpee Service Unit/indian Health Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992001457 PECOS PAC ID: 5496916082 Enrollment ID: O20120406000367

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. Medrina B Gilliam 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
Medrina B Gilliam, DDS 3217 Lakeshore Dr, Florence, SC 29501-8231 Ph: (803) 420-6344	Medrina B Gilliam, DDS 3217 Lakeshore Dr, Florence, SC 29501-8231 Ph: (803) 420-6344

Reviews and Comments

Dentist in Florence, SC

Philip Bonds, Dentist Medicare: Not Enrolled in Medicare Practice Location: 1343 2nd Loop Rd, Florence, SC 29505 Phone: 843-665-8176
Dr. Howard Wayne Haney, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 417 W Cheves St, Florence, SC 29501 Phone: 843-665-4344 Fax: 843-665-4619
Paul Gwengi-anam, D.D.S Dentist Medicare: Not Enrolled in Medicare Practice Location: 600 E Palmetto St, Florence, SC 29506 Phone: 843-667-9414 Fax: 843-667-1362
Dr. George Paul Economy, D.M.D. P.A. Dentist Medicare: Not Enrolled in Medicare Practice Location: 254 South Irby St., Florence, SC 29501 Phone: 843-667-8880 Fax: 843-667-8887
Dr. Ryan Merlin Meyer, DDS Dentist Medicare: Medicare Enrolled Practice Location: 1507a Heritage Ln, Florence, SC 29505 Phone: 843-665-4477
Dr. Lyle Nelson Mckain Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1519 Heritage Ln, Florence, SC 29505 Phone: 843-664-8777
Dr. John Breeden Early Jr., DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1840 2nd Loop Rd, Florence, SC 29501 Phone: 843-662-1761

Medrina B Gilliam, DDS - Medicare Dentist in Florence, SC