Gershom Jacob Douglas, APNP in Gaffney, SC - Medicare Nurse Practitioner

Gershom Jacob Douglas, APNP is a medicare enrolled "Nurse Practitioner" in Gaffney, South Carolina. He graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Nephrology Associates Of The Carolinas Pa and his current practice location is 1506 N Limestone St Ste B, Gaffney, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 489-4498.

Gershom Jacob Douglas is licensed to practice in South Carolina (license number 27568) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1902568942.

Contact Information

	Gershom Jacob Douglas, APNP
	1506 N Limestone St Ste B, Gaffney, SC 29340-4747
	(864) 489-4498
	Not Available

Map and Direction

Provider's Profile

Full Name	Gershom Jacob Douglas
Gender	Male
Speciality	Nurse Practitioner
Experience	4 Years
Location	1506 N Limestone St Ste B, Gaffney, 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.

Medical Education and Training:

Gershom Jacob Douglas graduated from nursing school in 2021

NPI Data:

NPI Number: 1902568942
Provider Enumeration Date: 10/07/2021
Last Update Date: 09/14/2023

Medicare PECOS Information:

PECOS PAC ID: 1658753538
Enrollment ID: I20240313000122

Medical Identifiers

Medical identifiers for Gershom Jacob Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902568942	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	1135733 (Wisconsin)	Secondary
363L00000X	Nurse Practitioner	27568 (South Carolina)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Nephrology Associates Of The Carolinas Pa	1759361223	7

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gershom Jacob Douglas allows following entities to bill medicare on his behalf.

Entity Name	Nephrology Associates Of The Carolinas Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598779803 PECOS PAC ID: 1759361223 Enrollment ID: O20040723001043

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gershom Jacob Douglas is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Gershom Jacob Douglas, APNP 1506 N Limestone St Ste B, Gaffney, SC 29340-4747 Ph: (864) 489-4498	Gershom Jacob Douglas, APNP 1506 N Limestone St Ste B, Gaffney, SC 29340-4747 Ph: (864) 489-4498

Reviews and Comments

Nurse Practitioner Nurses in Gaffney, SC

Tina Luanne Green, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 104 Willis Plz, Gaffney, SC 29341 Phone: 800-792-9030
Stacie Horne Young, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 139 Medical Center Dr, Gaffney, SC 29340 Phone: 864-487-7186 Fax: 864-487-7246
Damien Bailey, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1529 N Limestone St, Gaffney, SC 29340 Phone: 864-488-1283
Ms. Valerie D Dendy, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Limestone St, Gaffney, SC 29340 Phone: 864-487-4271
Mr. Troy D. Mccurry, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Chesnee Hwy Ste A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8718
Christy Petit, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 517 Chesnee Hwy, Ste A, Gaffney, SC 29341 Phone: 864-487-7655 Fax: 864-487-8717
Mrs. Jessica Weathers Stamey, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1530 N Limestone St, Gaffney, SC 29340 Phone: 864-487-4271

Gershom Jacob Douglas, APNP - Medicare Nurse Practitioner in Gaffney, SC