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

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Gershom Jacob Douglas, APNP is a medicare enrolled "Nurse Practitioner" in Gaffney, South Carolina. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. 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 NameGershom Jacob Douglas
GenderMale
SpecialityNurse Practitioner
Location1506 N Limestone St Ste B, Gaffney, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  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: I20231019003803

Medical Identifiers

Medical identifiers for Gershom Jacob Douglas such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902568942NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 1135733 (Wisconsin)Secondary
363L00000XNurse Practitioner 27568 (South Carolina)Primary

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 NameEar Nose Throat & Audiology Associates
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366632655
PECOS PAC ID: 3375568009
Enrollment ID: O20051011000962

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 AddressPractice 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: Medicare Enrolled
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    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.