Timothy Andrew Gajewski, MD | |
3600 Sea Mountain Hwy, Suite B, Little River, SC 29566-8161 | |
(843) 399-9696 | |
(843) 399-9596 |
Full Name | Timothy Andrew Gajewski |
---|---|
Gender | Male |
Speciality | Urology |
Experience | 39 Years |
Location | 3600 Sea Mountain Hwy, Little River, 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 |
---|---|---|---|
1841239233 | NPI | - | NPPES |
340016946 | Other | NC | INDIVIDUAL RAILROAD MCR # |
4129749 | Other | SC | AETNA |
P01487390 | Other | FL | RAILROAD MEDICARE |
7934311 | Medicaid | NC | |
1841239233 | Medicaid | NC | |
34311 | Other | NC | INDIVIDUAL BC/BS NC # |
N39425 | Medicaid | SC | |
1099192 | Other | SC | UNITED HEALTHCARE |
1111886 | Other | SC | WELLCARE |
2607136 | Other | SC | CIGNA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208800000X | Urology | TL37911 (South Carolina) | Secondary |
208800000X | Urology | 10957A (Wyoming) | Primary |
208800000X | Urology | 39425 (North Carolina) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Liberty Home Care | Supply, NC | Home health agency |
Mcleod Loris Hospital | Loris, SC | Hospital |
Grand Strand Regional Medical Center | Myrtle beach, SC | Hospital |
Conway Medical Center | Conway, SC | Hospital |
Mcleod Regional Medical Center-pee Dee | Florence, SC | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Atlantic Urology Clinics Llc | 0840296638 | 29 |
Mcleod Physician Associates Ii | 8224031307 | 543 |
Entity Name | Mcleod Physician Associates Ii |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801990494 PECOS PAC ID: 8224031307 Enrollment ID: O20060926000568 |
Entity Name | Atlantic Urology Clinics Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1447293790 PECOS PAC ID: 0840296638 Enrollment ID: O20061019000077 |
Mailing Address | Practice Location Address |
---|---|
Timothy Andrew Gajewski, MD 3600 Sea Mountain Hwy Ste B, Little River, SC 29566-8161 Ph: (843) 347-8600 | Timothy Andrew Gajewski, MD 3600 Sea Mountain Hwy, Suite B, Little River, SC 29566-8161 Ph: (843) 399-9696 |