| Jennifer Bailey Nelson, DO | |
|
4278 Ladson Rd, Ladson, SC 29456-5452 | |
| (843) 203-2240 | |
| (843) 203-2241 |
| Full Name | Jennifer Bailey Nelson |
|---|---|
| Gender | Female |
| Speciality | Family Practice |
| Experience | 25 Years |
| Location | 4278 Ladson Rd, Ladson, 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 |
|---|---|---|---|
| 1538182324 | NPI | - | NPPES |
| P00784094 | Other | SC | RAILROAD MEDICARE-EFF 5/1/2009 |
| P00638306 | Other | SC | RAILROAD MEDICARE |
| 010222 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 1022 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Roper Hospital | Charleston, SC | Hospital |
| Margaret R Pardee Memorial Hospital | Hendersonville, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Roper Saint Francis Physicians Network | 5193874824 | 478 |
| Henderson County Urgent Care Center Inc | 2466407572 | 23 |
| Entity Name | Roper Saint Francis Physicians Network |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124431606 PECOS PAC ID: 5193874824 Enrollment ID: O20090528000405 |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Bailey Nelson, DO Po Box 751649, Charlotte, NC 28275-1649 Ph: (843) 789-1620 | Jennifer Bailey Nelson, DO 4278 Ladson Rd, Ladson, SC 29456-5452 Ph: (843) 203-2240 |
Dr. Patrick Norris Grover, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 | |
Mr. Douglas E Sloan, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 4278 Ladson Rd, Ladson, SC 29456 Phone: 843-203-2240 Fax: 843-203-2241 |