| Jacquelyn S Gill, MD | |
|
216 E Marion St, Kershaw, SC 29067 | |
| (803) 475-3350 | |
| Not Available |
| Full Name | Jacquelyn S Gill |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine |
| Experience | 11 Years |
| Location | 216 E Marion St, Kershaw, 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 |
|---|---|---|---|
| 1194145615 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 201034 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 40865 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Community Medicine Foundation | 4880687490 | 11 |
| Entity Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568541597 PECOS PAC ID: 8224949821 Enrollment ID: O20031126000326 |
| Entity Name | Community Medicine Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1528004918 PECOS PAC ID: 4880687490 Enrollment ID: O20040407001159 |
| Entity Name | Tandem Health Sc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386630192 PECOS PAC ID: 3870575855 Enrollment ID: O20040603000514 |
| 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 |
|---|---|
| Jacquelyn S Gill, MD 216 E Marion St, Kershaw, SC 29067 Ph: (803) 475-3350 | Jacquelyn S Gill, MD 216 E Marion St, Kershaw, SC 29067 Ph: (803) 475-3350 |
Cynthia A Wilberding, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 216 E Marion St, Kershaw, SC 29067 Phone: 803-475-3475 Fax: 803-475-5360 |