| Dr Jerrold M Buckaloo, MD | |
|
1175 Cook Rd, Suite 215, Orangeburg, SC 29118-8201 | |
| (803) 395-3837 | |
| (803) 536-5122 |
| Full Name | Dr Jerrold M Buckaloo |
|---|---|
| Gender | Male |
| Speciality | Orthopaedic Surgery - Hand Surgery |
| Location | 1175 Cook Rd, 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 |
|---|---|---|---|
| 1558466516 | NPI | - | NPPES |
| P00727280 | Other | SC | RAILROAD MEDICARE ID-RSFPN |
| 209036 | Medicaid | SC | |
| P00401081 | Other | SC | RAILROAD MEDICARE ID |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | 20903 (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 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jerrold M Buckaloo, MD 1175 Cook Rd, Suite 215, Orangeburg, SC 29118-8201 Ph: (803) 395-3837 | Dr Jerrold M Buckaloo, MD 1175 Cook Rd, Suite 215, Orangeburg, SC 29118-8201 Ph: (803) 395-3837 |
David Ajibade, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 1175 Cook Rd Ste 215, Orangeburg, SC 29118 Phone: 803-395-3837 | |
Dr. James Paul Marro, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 3000 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-395-3837 |