| Dr Jill Maxwell Sullivan, MD | |
|
701 Grove Rd, Ghs Med-peds Residency, Greenville, SC 29605-5611 | |
| (864) 455-7844 | |
| (864) 455-7848 |
| Full Name | Dr Jill Maxwell Sullivan |
|---|---|
| Gender | Female |
| Speciality | Hematology/oncology |
| Experience | 14 Years |
| Location | 701 Grove Rd, Greenville, South Carolina |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174818355 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 33553 (South Carolina) | Primary |
| 208000000X | Pediatrics | 33553 (South Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Prisma Heath Tuomey Hospital | Sumter, SC | Hospital |
| Prisma Health Baptist | Columbia, SC | Hospital |
| Lexington Medical Center | West columbia, SC | Hospital |
| Prisma Health Richland Hospital | Columbia, SC | Hospital |
| Prisma Health Baptist Parkridge | Columbia, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| South Carolina Oncology Assoc Pa | 6103739024 | 18 |
| Entity Name | South Carolina Oncology Assoc Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467406918 PECOS PAC ID: 6103739024 Enrollment ID: O20031107000064 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jill Maxwell Sullivan, MD 701 Grove Rd, Ghs Med-peds Residency, Greenville, SC 29605-5611 Ph: (864) 455-7844 | Dr Jill Maxwell Sullivan, MD 701 Grove Rd, Ghs Med-peds Residency, Greenville, SC 29605-5611 Ph: (864) 455-7844 |
Hilary Lauren Knippers, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 876 W Faris Rd, Greenville, SC 29605 Phone: 864-455-5648 | |
Abdullah Darvesh, Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Daniel Ruiz, Internal Medicine Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7882 | |
Rhett Mckey Shirley, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Suite 520, Greenville, SC 29605 Phone: 864-455-9033 Fax: 864-455-6559 | |
Mohammad Rashid, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 61 Pointe Cir, Greenville, SC 29615 Phone: 864-286-6960 Fax: 864-286-8710 | |
Benjamin Ellis Rawls, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd Fl 5, Greenville, SC 29605 Phone: 864-455-4411 | |
Alan Robert Thompson, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 701 Grove Rd, 5th Floor, Greenville, SC 29605 Phone: 864-455-4411 Fax: 864-455-4480 |