Miss Jill Cullipher Souza, CRNA in Camden, SC - Medicare Certified Registered Nurse Anesthetist (crna)

Miss Jill Cullipher Souza, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Camden, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2009 and has 16 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Conway Anesthesia Services Inc, Mcleod Physician Associates Ii and her current practice location is 1315 Roberts St, Camden, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 432-4311.

Miss Jill Cullipher Souza is licensed to practice in South Carolina (license number 3883) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1467695577.

Contact Information

	Miss Jill Cullipher Souza, CRNA
	1315 Roberts St, Camden, SC 29021-7003
	(803) 432-4311
	Not Available

Map and Direction

Provider's Profile

Full Name	Miss Jill Cullipher Souza
Gender	Female
Speciality	Certified Registered Nurse Anesthetist (crna)
Experience	16 Years
Location	1315 Roberts St, Camden, 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.

Medical Education and Training:

Miss Jill Cullipher Souza attended and graduated from University Of South Carolina School Of Medicine in 2009

NPI Data:

NPI Number: 1467695577
Provider Enumeration Date: 04/20/2009
Last Update Date: 01/18/2014

Medicare PECOS Information:

PECOS PAC ID: 9335295880
Enrollment ID: I20090924000286

Medical Identifiers

Medical identifiers for Miss Jill Cullipher Souza such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1467695577	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367500000X	Nurse Anesthetist, Certified Registered	3883 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mcleod Loris Hospital	Loris, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Conway Anesthesia Services Inc	7113331513	3
Mcleod Physician Associates Ii	8224031307	452

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. Miss Jill Cullipher Souza allows following entities to bill medicare on her behalf.

Entity Name	Mcleod Physician Associates Ii
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568

Entity Name	Conway Anesthesia Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316540636 PECOS PAC ID: 7113331513 Enrollment ID: O20210126002178

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. Miss Jill Cullipher Souza 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
Miss Jill Cullipher Souza, CRNA 1315 Roberts St, Post Office Box 7003, Camden, SC 29021-7003 Ph: (803) 432-4311	Miss Jill Cullipher Souza, CRNA 1315 Roberts St, Camden, SC 29021-7003 Ph: (803) 432-4311

Reviews and Comments

Nurse Anesthetist, Certified Registered Nurses in Camden, SC

Christopher C Cornor, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts Street, Camden, SC 29020 Phone: 803-432-4311
Mrs. Amanda C Fowler, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts Street, Camden, SC 29020 Phone: 803-432-4311 Fax: 910-715-1943
Linda George Van Dam, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311
Todd Richard Gustafson, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311
Jamie B Thompson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311
Jeremiah Christian Fowler, RN Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-432-4311

Miss Jill Cullipher Souza, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Camden, SC