| Madeline Dillman, RN | |
|
9023 Garners Ferry Rd, Hopkins, SC 29061-9540 | |
| (803) 978-1848 | |
| (803) 978-1852 |
| Full Name | Madeline Dillman |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Pediatrics |
| Location | 9023 Garners Ferry Rd, Hopkins, 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 |
|---|---|---|---|
| 1700459468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | RN2329160 (Massachusetts) | Secondary |
| 363LP0200X | Nurse Practitioner - Pediatrics | 27924 (South Carolina) | Primary |
| Entity Name | St James Health And Wellness Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366568594 PECOS PAC ID: 1658280334 Enrollment ID: O20050810000151 |
| Mailing Address | Practice Location Address |
|---|---|
| Madeline Dillman, RN 2214 Old Cherokee Rd, Lexington, SC 29072-9725 Ph: (803) 520-9380 | Madeline Dillman, RN 9023 Garners Ferry Rd, Hopkins, SC 29061-9540 Ph: (803) 978-1848 |
Shankia Glover, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9023 Garners Ferry Rd, Hopkins, SC 29061 Phone: 803-978-1848 | |
Heather Schneider Miles, APRN, WHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9023 Garners Ferry Rd, Hopkins, SC 29061 Phone: 803-978-1848 Fax: 803-978-1852 |