James William Woodham, MD is a medicare enrolled "Emergency Medicine" physician in Bennettsville, South Carolina. His current practice location is
1138 Cheraw Hwy, Bennettsville, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 479-2881.
James William Woodham is licensed to practice in South Carolina (license number 17194) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033186572.
Physician's Profile
| Full Name | James William Woodham |
|---|
| Gender | Male |
|---|
| Speciality | Emergency Medicine |
|---|
| Location | 1138 Cheraw Hwy, Bennettsville, South Carolina |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1033186572
- Provider Enumeration Date: 03/03/2006
- Last Update Date: 12/10/2009
Medicare PECOS Information:
- PECOS PAC ID: 2466402722
- Enrollment ID: I20111110000228
Medical Identifiers
Medical identifiers for James William Woodham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1033186572 | NPI | - | NPPES |
| T10306 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 17194 (South Carolina) | Primary |
| 208600000X | Surgery | 17194 (South Carolina) | Secondary |
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. James William Woodham allows following entities to bill medicare on his behalf.
| Entity Name | Southland Cochran Emergency Medical Services Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1205241395
PECOS PAC ID: 9638398027
Enrollment ID: O20140917001247 |
|---|
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. James William Woodham 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 |
|---|
James William Woodham, MD
1092 Lesesne Dr,
Manning, SC 29102-4634
Ph: (803) 478-5963 | James William Woodham, MD
1138 Cheraw Hwy,
Bennettsville, SC 29512
Ph: (843) 479-2881 |
Reviews and Comments