| Dr Gordon Reese Weigle Ii, MD | |
|
880 W Moultrie St Ste 200, Winnsboro, SC 29180-2411 | |
| (803) 635-6461 | |
| (803) 635-4200 |
| Full Name | Dr Gordon Reese Weigle Ii |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 48 Years |
| Location | 880 W Moultrie St Ste 200, Winnsboro, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093768616 | NPI | - | NPPES |
| 089013 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | SC8901 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Fairfield Medical Associates, Pa. | 3072519289 | 3 |
| 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 | Fairfield Medical Associates, Pa. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1184737892 PECOS PAC ID: 3072519289 Enrollment ID: O20061011000558 |
| 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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gordon Reese Weigle Ii, MD Po Box 1218, Winnsboro, SC 29180-5218 Ph: (803) 635-6461 | Dr Gordon Reese Weigle Ii, MD 880 W Moultrie St Ste 200, Winnsboro, SC 29180-2411 Ph: (803) 635-6461 |
Stephen A. Brunton, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Mr. Harmon Fairey Patrick, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 880 W Moultrie St, Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 | |
Kylie Anna Whittle, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Mark Edward Shaffer, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 56 Us Highway 321 Byp N, Winnsboro, SC 29180 Phone: 803-635-6099 Fax: 803-635-6343 | |
Mr. Roger A Gaddy, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 880 W Moultrie St, Suite 200, Winnsboro, SC 29180 Phone: 803-635-6461 Fax: 803-635-4200 | |
Mrs. Deborah Lou Stuck, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 880 W Moultrie St, Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 |