Jack Wilson Cleland, MD in Spartanburg, SC

Jack Wilson Cleland, MD is a medicare enrolled "Pediatrics" physician in Spartanburg, South Carolina. His current practice location is 1330 Boiling Springs Rd, Suite 1300, Spartanburg, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 560-6345.

Jack Wilson Cleland is licensed to practice in South Carolina (license number 30778) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1912166315.

Contact Information

	Jack Wilson Cleland, MD
	1330 Boiling Springs Rd, Suite 1300, Spartanburg, SC 29303-4201
	(864) 560-6345
	(864) 560-6054

Map and Direction

Physician's Profile

Full Name	Jack Wilson Cleland
Gender	Male
Speciality	Pediatrics
Location	1330 Boiling Springs Rd, Spartanburg, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1912166315
Provider Enumeration Date: 06/02/2008
Last Update Date: 12/11/2020

Medicare PECOS Information:

PECOS PAC ID: 8820234693
Enrollment ID: I20140204001284

Medical Identifiers

Medical identifiers for Jack Wilson Cleland such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1912166315	NPI	-	NPPES
307787	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208000000X	Pediatrics	LL30778 (South Carolina)	Secondary
208000000X	Pediatrics	30778 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jack Wilson Cleland allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Spartanburg Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129

Entity Name	Cherokee Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285275305 PECOS PAC ID: 5991041212 Enrollment ID: O20191220002041

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jack Wilson Cleland is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jack Wilson Cleland, MD Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304	Jack Wilson Cleland, MD 1330 Boiling Springs Rd, Suite 1300, Spartanburg, SC 29303-4201 Ph: (864) 560-6345

Reviews and Comments

Pediatrics Doctors in Spartanburg, SC

Dr. Marcia L Parra, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301 Phone: 864-560-9600 Fax: 864-560-9613
Mrs. Donna Payne Smith, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 8311 Warren H Abernathy Hwy, Spartanburg, SC 29301 Phone: 864-562-5400 Fax: 864-562-5430
Everett Lee Belvin Ii, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1686 Skylyn Dr, Suite 201, Spartanburg, SC 29307 Phone: 864-582-8135 Fax: 864-573-9757
Ernest N Mistr, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1330 Boiling Springs Rd, Suite 1300, Spartanburg, SC 29303 Phone: 864-560-6345
Mrs. Alanna Ahlers Nutz, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 3020 Reidville Rd, Suite B, Spartanburg, SC 29301 Phone: 864-272-0388 Fax: 864-213-9237
Christine Hidalgo Philpott, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 201 E Broad St, Spartanburg, SC 29306 Phone: 864-707-2135 Fax: 864-707-2136
George Chester Glenn Iii, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1686 Skyland Drive, Suite 201, Spartanburg, SC 29307 Phone: 864-582-8135 Fax: 864-573-9757

Jack Wilson Cleland, MD - Medicare Pediatrics in Spartanburg, SC