Jacquelyn S Gill, MD is a medicare enrolled "Internal Medicine" physician in Kershaw, South Carolina. She graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Community Medicine Foundation and her current practice location is
216 E Marion St, Kershaw, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 475-3350.
Jacquelyn S Gill is licensed to practice in South Carolina (license number 40865) 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 1194145615.
Physician's Profile
| Full Name | Jacquelyn S Gill |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 10 Years |
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| Location | 216 E Marion St, Kershaw, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jacquelyn S Gill graduated from medical school in 2014
NPI Data:
- NPI Number: 1194145615
- Provider Enumeration Date: 04/23/2014
- Last Update Date: 12/12/2023
Medicare PECOS Information:
- PECOS PAC ID: 3779704010
- Enrollment ID: I20171024003274
Medical Identifiers
Medical identifiers for Jacquelyn S Gill such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194145615 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207R00000X | Internal Medicine | 201034 (North Carolina) | Secondary |
| 207R00000X | Internal Medicine | 40865 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Community Medicine Foundation | 4880687490 | 12 |
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. Jacquelyn S Gill allows following entities to bill medicare on her behalf.
| Entity Name | Sandhills Medical Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568541597
PECOS PAC ID: 8224949821
Enrollment ID: O20031126000326 |
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| Entity Name | Tandem Health Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1386630192
PECOS PAC ID: 3870575855
Enrollment ID: O20040603000514 |
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| Entity Name | Musc Community Physicians |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388 |
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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. Jacquelyn S Gill 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 |
|---|
Jacquelyn S Gill, MD
216 E Marion St,
Kershaw, SC 29067
Ph: (803) 475-3350 | Jacquelyn S Gill, MD
216 E Marion St,
Kershaw, SC 29067
Ph: (803) 475-3350 |
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