| Brooke Jackson Gerlach, PA-C | |
|
1818 Remant Rd, Hanahan, SC 29410 | |
| (843) 410-5608 | |
| Not Available |
| Full Name | Brooke Jackson Gerlach |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 1818 Remant Rd, Hanahan, South Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952789638 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 3074 (South Carolina) | Primary |
| 133V00000X | Dietitian, Registered | LRD.1256 (South Carolina) | Secondary |
| Entity Name | University Medical Associates of the Medical University of South Carol |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
| Mailing Address | Practice Location Address |
|---|---|
| Brooke Jackson Gerlach, PA-C 1038 Saltwater Circle, Johns Island, SC 29455 Ph: (864) 790-0500 | Brooke Jackson Gerlach, PA-C 1818 Remant Rd, Hanahan, SC 29410 Ph: (843) 410-5608 |
Lydia Mahan, Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 1203 Jones St Apt A, Hanahan, SC 29410 Phone: 843-812-9036 |
Robert Michael Macbain, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 7403 Purser Ln, Hanahan, SC 29410 Phone: 843-330-8194 |