| Timothy Andrew Gajewski, MD | |
|
3600 Sea Mountain Hwy, Suite B, Little River, SC 29566-8161 | |
| (843) 399-9696 | |
| (843) 399-9596 |
| Full Name | Timothy Andrew Gajewski |
|---|---|
| Gender | Male |
| Speciality | Urology |
| Experience | 40 Years |
| Location | 3600 Sea Mountain Hwy, Little River, 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 |
|---|---|---|---|
| 1841239233 | NPI | - | NPPES |
| 340016946 | Other | NC | INDIVIDUAL RAILROAD MCR # |
| 4129749 | Other | SC | AETNA |
| P01487390 | Other | FL | RAILROAD MEDICARE |
| 7934311 | Medicaid | NC | |
| 1841239233 | Medicaid | NC | |
| 34311 | Other | NC | INDIVIDUAL BC/BS NC # |
| N39425 | Medicaid | SC | |
| 1099192 | Other | SC | UNITED HEALTHCARE |
| 1111886 | Other | SC | WELLCARE |
| 2607136 | Other | SC | CIGNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208800000X | Urology | TL37911 (South Carolina) | Secondary |
| 208800000X | Urology | 10957A (Wyoming) | Primary |
| 208800000X | Urology | 39425 (North Carolina) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Mcleod Loris Hospital | Loris, SC | Hospital |
| Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
| Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Mcleod Physician Associates Ii | 8224031307 | 452 |
| Entity Name | Mcleod Physician Associates Ii |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
| Entity Name | Atlantic Urology Clinics Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447293790 PECOS PAC ID: 0840296638 Enrollment ID: O20061019000077 |
| Mailing Address | Practice Location Address |
|---|---|
| Timothy Andrew Gajewski, MD 3600 Sea Mountain Hwy Ste B, Little River, SC 29566-8161 Ph: (843) 347-8600 | Timothy Andrew Gajewski, MD 3600 Sea Mountain Hwy, Suite B, Little River, SC 29566-8161 Ph: (843) 399-9696 |