Charles J Kilgore, MD | |
940 Holly St, Orangeburg, SC 29115-4930 | |
(803) 536-2725 | |
(803) 534-3118 |
Full Name | Charles J Kilgore |
---|---|
Gender | Male |
Speciality | Pediatrics |
Location | 940 Holly St, Orangeburg, 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 |
---|---|---|---|
1972523355 | NPI | - | NPPES |
5056289 | Other | SC | AETNA |
0924351 | Other | SC | CIGNA |
103257 | Medicaid | SC | |
20065759 | Other | SC | FIRST CHOICE |
225643 | Other | SC | UNISON |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 10325 (South Carolina) | Primary |
Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1922063858 PECOS PAC ID: 8527970771 Enrollment ID: O20040112000062 |
Entity Name | The Regional Medical Center Of Orangeburg And Calhoun Counties |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366527566 PECOS PAC ID: 8527970771 Enrollment ID: O20061212000397 |
Entity Name | Mcleod Health Clarendon |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1508218793 PECOS PAC ID: 0840582656 Enrollment ID: O20160915000930 |
Entity Name | Musc Community Physicians |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388 |
Mailing Address | Practice Location Address |
---|---|
Charles J Kilgore, MD 940 Holly St, Orangeburg, SC 29115-4930 Ph: (803) 536-2725 | Charles J Kilgore, MD 940 Holly St, Orangeburg, SC 29115-4930 Ph: (803) 536-2725 |
Dr. Ben C Pendarvis Jr., M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St Ne, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-1441 | |
Tanya Am Nanongkhai, Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Dr. Sandra Stephens, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Brigitte Jahoor, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 | |
Sandra Siatkowski, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1995 Saint Matthews Rd, Orangeburg, SC 29118 Phone: 803-928-5525 | |
Dr. Thomas B. Gue, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 940 Holly St Ne, Orangeburg, SC 29115 Phone: 803-536-2725 Fax: 803-534-1441 | |
Dr. Virginia Wagner, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3310 Magnolia St, Orangeburg, SC 29115 Phone: 803-531-6900 Fax: 803-531-6907 |