Gordon E Pennebaker, MD | |
1344 Haile St, Camden, SC 29020-3076 | |
(803) 432-1996 | |
(803) 424-2703 |
Full Name | Gordon E Pennebaker |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 31 Years |
Location | 1344 Haile St, Camden, 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. |
Identifier | Type | State | Issuer |
---|---|---|---|
1366494197 | NPI | - | NPPES |
080181551 | Other | SC | RAILROAD MEDICARE PIN |
B5656 | Other | MEDCOST | |
182652 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 18265 (South Carolina) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Of Camden | Camden, SC | Home health agency |
Kershawhealth Home Health | Lugoff, SC | Home health agency |
Kershawhealth | Camden, SC | Hospital |
Musc Medical Center | Charleston, SC | Hospital |
Providence Health | Columbia, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Musc Community Physicians | 6507260668 | 793 |
Entity Name | Providence Physician Practices Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1285253336 PECOS PAC ID: 9638475627 Enrollment ID: O20160328001916 |
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 |
---|---|
Gordon E Pennebaker, MD Po Box 1259, Sentinel Health Partners Pa Business Office, Camden, SC 29021-1259 Ph: (803) 713-8350 | Gordon E Pennebaker, MD 1344 Haile St, Camden, SC 29020-3076 Ph: (803) 432-1996 |
Dr. Gilbert Larry Holmes, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1344 Haile St, Camden, SC 29020 Phone: 803-432-1996 Fax: 803-424-2703 | |
Dr. Alice Joyce Brooks, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-424-5780 Fax: 803-424-5795 | |
James S Shaw, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1344 Haile St, Camden, SC 29020 Phone: 803-432-1996 Fax: 803-424-2703 | |
Stephen Michael Pillinger, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1315 Roberts St, Camden, SC 29020 Phone: 803-713-6899 Fax: 803-713-2714 | |
Dr. Susan B. Munn, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1017 Fair St, Camden, SC 29020 Phone: 803-424-1260 Fax: 803-424-1230 |