| Caitlin Wilburn, PA-C | |
|
9404 Highway 78 Ste 100, Ladson, SC 29456-3909 | |
| (843) 737-0437 | |
| (843) 789-3053 |
| Full Name | Caitlin Wilburn |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Experience | 11 Years |
| Location | 9404 Highway 78 Ste 100, 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 |
|---|---|---|---|
| 1871968719 | NPI | - | NPPES |
| 3768PA | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 7817 (Georgia) | Secondary |
| 363A00000X | Physician Assistant | 3057 (South Carolina) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Commonwealth Pain Associates Pllc | 0941441919 | 156 |
| Commonwealth Pain Associates Pllc | 0941441919 | 156 |
| Entity Name | Commonwealth Pain Associates PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1306280177 PECOS PAC ID: 0941441919 Enrollment ID: O20130802000577 |
| Mailing Address | Practice Location Address |
|---|---|
| Caitlin Wilburn, PA-C 9404 Highway 78 Ste 100, Ladson, SC 29456-3909 Ph: (502) 855-7200 | Caitlin Wilburn, PA-C 9404 Highway 78 Ste 100, Ladson, SC 29456-3909 Ph: (843) 737-0437 |
Emily Jordan Peacock, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3601 Ladson Rd, Ladson, SC 29456 Phone: 843-285-2500 |
Madeleine Hodge, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 601-513-6073 |
Sydney Baucom, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 |
Brandon Mychael Ware, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 9565 Highway 78, Suite 400, Ladson, SC 29456 Phone: 843-737-0437 |
Juliana Zampatori, PA Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3495 Iron Horse Rd, Ladson, SC 29456 Phone: 843-793-5970 |
Nicole Call, Physician Assistant Medicare: Medicare Enrolled Practice Location: 8501 Palmetto Commerce Pkwy, Ladson, SC 29456 Phone: 854-888-3529 |
Lauren Orosz, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3445 Ingleside Blvd, Ladson, SC 29456 Phone: 843-797-4200 |