| Charles J Kilgore, MD | |
|
940 Holly St, Orangeburg, SC 29115-4930 | |
| (803) 536-2725 | |
| (803) 534-3118 |
| Full Name | Charles J Kilgore |
|---|---|
| Gender | Male |
| Speciality | Pediatrics |
| Location | 940 Holly St, Orangeburg, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972523355 | NPI | - | NPPES |
| 5056289 | Other | SC | AETNA |
| 0924351 | Other | SC | CIGNA |
| 103257 | Medicaid | SC | |
| 20065759 | Other | SC | FIRST CHOICE |
| 225643 | Other | SC | UNISON |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208000000X | Pediatrics | 10325 (South Carolina) | Primary |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062 |
| Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366527566 PECOS PAC ID: 8527970771 Enrollment ID: O20061212000397 |
| Entity Name | Mcleod Health Clarendon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
| Entity Name | Musc Community Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
| Mailing Address | Practice Location Address |
|---|---|
| Charles J Kilgore, MD 940 Holly St, Orangeburg, SC 29115-4930 Ph: (803) 536-2725 | Charles J Kilgore, MD 940 Holly St, Orangeburg, SC 29115-4930 Ph: (803) 536-2725 |
Dr. Ben C Pendarvis Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St Ne, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-1441 | |
Tanya Am Nanongkhai, Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Dr. Sandra Stephens, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Brigitte Jahoor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Sandra Siatkowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1995 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-928-5525 | |
Dr. Thomas B. Gue, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St Ne, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-1441 | |
Dr. Virginia Wagner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 |