| Gordon E Pennebaker, MD | |
|
1344 Haile St, Camden, SC 29020-3076 | |
| (803) 432-1996 | |
| (803) 424-2703 |
| Full Name | Gordon E Pennebaker |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 32 Years |
| Location | 1344 Haile St, Camden, 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 |
|---|---|---|---|
| 1366494197 | NPI | - | NPPES |
| 080181551 | Other | SC | RAILROAD MEDICARE PIN |
| B5656 | Other | MEDCOST | |
| 182652 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 18265 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Amedisys Home Health Of Camden | Camden, SC | Home health agency |
| Kershawhealth | Camden, SC | Hospital |
| Providence Health | Columbia, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Providence Physician Practices Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
| 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 |
|---|---|
| Gordon E Pennebaker, MD Po Box 1259, Sentinel Health Partners Pa Business Office, Camden, SC 29021-1259 Ph: (803) 713-8350 | Gordon E Pennebaker, MD 1344 Haile St, Camden, SC 29020-3076 Ph: (803) 432-1996 |
Dr. Joy J Furman, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 718 Lafayette Ave, Camden, SC 29020 Phone: 864-635-0376 Fax: 864-442-6848 | |
Dr. Gilbert Larry Holmes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1344 Haile St, Camden, SC 29020 Phone: 803-432-1996 Fax: 803-424-2703 | |
Dr. Alice Joyce Brooks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-424-5780 Fax: 803-424-5795 | |
Dale Roberts Faulkenberry, FNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 146 Battleship Rd, Camden, SC 29020 Phone: 803-432-3741 | |
James S Shaw, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1344 Haile St, Camden, SC 29020 Phone: 803-432-1996 Fax: 803-424-2703 | |
Stephen Michael Pillinger, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-713-6899 Fax: 803-713-2714 |