| Dr Jesse William Powell Jr, MD | |
|
129 N Washington St, Sumter, SC 29150-4949 | |
| (803) 112-9163 | |
| Not Available |
| Full Name | Dr Jesse William Powell Jr |
|---|---|
| Gender | Male |
| Speciality | Pathology |
| Experience | 19 Years |
| Location | 129 N Washington St, Sumter, 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 |
|---|---|---|---|
| 1679527568 | NPI | - | NPPES |
| 281466 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | LL28146 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Hilton Head Regional Medical Center | Hilton head island, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Professional Pathology Services Pc | 9537067491 | 10 |
| Entity Name | Professional Pathology Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427028208 PECOS PAC ID: 9537067491 Enrollment ID: O20031230000232 |
| 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 |
|---|---|
| Dr Jesse William Powell Jr, MD 5700 Southwyck Blvd, Toledo, OH 43614-1509 Ph: (800) 288-8325 | Dr Jesse William Powell Jr, MD 129 N Washington St, Sumter, SC 29150-4949 Ph: (803) 112-9163 |
Dr. Jennifer Bess Jones, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-778-9163 | |
Dr. Philip Alan Finley I, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 864-223-3600 Fax: 864-223-6054 | |
Dr. Omar Adolio Pinilla, M.D, Pathology Medicare: Not Enrolled in Medicare Practice Location: 129 N Washington St, Sumter, SC 29150 Phone: 803-778-9166 Fax: 803-778-9551 |