| Jalidsa Pellicier, MD | |
|
169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425-8905 | |
| (843) 792-2571 | |
| Not Available |
| Full Name | Jalidsa Pellicier |
|---|---|
| Gender | Female |
| Speciality | Pathology |
| Experience | 20 Years |
| Location | 169 Ashley Ave, Charleston, 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 |
|---|---|---|---|
| 1386964187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207ZP0102X | Pathology - Anatomic Pathology & Clinical Pathology | MMD.32643LL (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Baptist Medical Center Jacksonville | Jacksonville, FL | Hospital |
| Baptist Medical Center - Beaches | Jacksonville beach, FL | Hospital |
| Baptist Medical Center - Nassau | Fernandina beach, FL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Southeastern Pathology Associates Pc | 5890781371 | 45 |
| Entity Name | Southeastern Pathology Associates PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992963268 PECOS PAC ID: 5890781371 Enrollment ID: O20130606000449 |
| Mailing Address | Practice Location Address |
|---|---|
| Jalidsa Pellicier, MD 169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425-8905 Ph: Not Available | Jalidsa Pellicier, MD 169 Ashley Ave, Room 202 Main Hospital, Charleston, SC 29425-8905 Ph: (843) 792-2571 |
Paige Woodham, M.D. Pathology Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086 |
Chelsea Wright-void, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 169 Ashley Avenue, Room 202 Main Hospital Msc333, Charleston, SC 29425 Phone: 843-792-1086 Fax: 843-792-8974 |
Corynne Maria Caballero, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-1414 |
Thomas James Laux, DO Pathology Medicare: Not Enrolled in Medicare Practice Location: 169 Ashley Ave Rm 202, Charleston, SC 29425 Phone: 843-792-1086 |
Anne Bartlett, M.D. Pathology Medicare: Not Enrolled in Medicare Practice Location: 171 Ashley Ave, Charleston, SC 29425 Phone: 843-792-3121 |
David Lindsay Holbrook, MD Pathology Medicare: Not Enrolled in Medicare Practice Location: 109 Bee St, Charleston, SC 29401 Phone: 843-789-7519 |
Dr. Bradley Jess Marcus, MD Pathology Medicare: Accepting Medicare Assignments Practice Location: 171 Ashley Avenue, Suite 309, Medical University Of South Carolina, Dept Of Path, Charleston, SC 29525 Phone: 843-792-3121 Fax: 843-792-3537 |