| Jonathan Kevin Millard, MD | |
|
1 Medical Park Dr, Chester, SC 29706-9769 | |
| (803) 581-3151 | |
| Not Available |
| Full Name | Jonathan Kevin Millard |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Experience | 26 Years |
| Location | 1 Medical Park Dr, Chester, 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 |
|---|---|---|---|
| 1932119088 | NPI | - | NPPES |
| 89135FU | Medicaid | NC | |
| N00840 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 85495 (South Carolina) | Primary |
| 207P00000X | Emergency Medicine | 011233708 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Musc Health Lancaster Medical Center | Lancaster, SC | Hospital |
| Sampson Regional Medical Center | Clinton, NC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sampson Regional Emergency Professional Services, Llc | 6406119239 | 7 |
| Musc Community Physicians | 6507260668 | 984 |
| Entity Name | Emergency Medicine Physicians Of Craven County Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164462586 PECOS PAC ID: 0042106478 Enrollment ID: O20040224000355 |
| Entity Name | Sampson Regional Emergency Professional Services, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952819575 PECOS PAC ID: 6406119239 Enrollment ID: O20180409002720 |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan Kevin Millard, MD Po Box 603898, Charlotte, NC 28260-3898 Ph: (843) 792-6200 | Jonathan Kevin Millard, MD 1 Medical Park Dr, Chester, SC 29706-9769 Ph: (803) 581-3151 |
Isom Lowman, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-385-6164 | |
Dr. Jonathan Christopher Neuman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3151 | |
John Taylor Autry, Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3151 | |
Terry Moslander, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3151 |