Mr Gerald D Oliver, MD | |
1055a Silver Bluff Rd, Aiken, SC 29803-5884 | |
(803) 648-3500 | |
(803) 648-4200 |
Full Name | Mr Gerald D Oliver |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 1055a Silver Bluff Rd, Aiken, 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 |
---|---|---|---|
1578674479 | NPI | - | NPPES |
T24630 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18511 (South Carolina) | Primary |
208000000X | Pediatrics | 18511 (South Carolina) | Secondary |
Entity Name | Medcare Express - North Charleston Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899 Enrollment ID: O20070523000200 |
Mailing Address | Practice Location Address |
---|---|
Mr Gerald D Oliver, MD 1055a Silver Bluff Rd, Aiken, SC 29803-5884 Ph: (803) 648-3500 | Mr Gerald D Oliver, MD 1055a Silver Bluff Rd, Aiken, SC 29803-5884 Ph: (803) 648-3500 |
Kate Barrett Mayes, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 223 Park Ave Se, Aiken, SC 29801 Phone: 803-641-1270 Fax: 803-641-1276 | |
Thomas Mccullough, Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 410 University Pkwy Ste 2500, Aiken, SC 29801 Phone: 803-648-7888 Fax: 803-648-3302 | |
Ghulam Murtaza, Internal Medicine Medicare: Medicare Enrolled Practice Location: 137 Miracle Dr, Aiken, SC 29801 Phone: 803-641-4874 | |
Janet L Utz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 137 Miracle Drive, Aiken, SC 29801 Phone: 803-641-4874 Fax: 803-641-0436 | |
Dr. Amalachi Favour Ndiagwalu, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 302 University Pkwy, Aiken, SC 29801 Phone: 803-641-5000 | |
Dr. Weems R Pennington Iii, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 137 Miracle Dr, Aiken, SC 29801 Phone: 803-641-4874 Fax: 803-641-0436 | |
Dr. Frank Joseph Mondschein, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 102 Summerwood Way, Aiken, SC 29803 Phone: 803-649-5300 Fax: 803-649-0056 |