Stephanie Suzanne Gillam, PT, DPT is a medicare enrolled "Physical Therapist" provider in Lyman, South Carolina. Her current practice location is
411 Birchbark Ln, Lyman, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(585) 747-4704.
Stephanie Suzanne Gillam is licensed to practice in South Carolina (license number 6278PT) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1922313261.
Healthcare Provider's Profile
| Full Name | Stephanie Suzanne Gillam |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 411 Birchbark Ln, Lyman, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1922313261
- Provider Enumeration Date: 08/11/2010
- Last Update Date: 03/18/2013
Medicare PECOS Information:
- PECOS PAC ID: 1951783299
- Enrollment ID: I20220802003354
Medical Identifiers
Medical identifiers for Stephanie Suzanne Gillam such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1922313261 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 032914-1 (New York) | Secondary |
| 225100000X | Physical Therapist | 6278PT (South Carolina) | Primary |
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. Stephanie Suzanne Gillam allows following entities to bill medicare on her behalf.
| Provider Name | The Weston Group Of South Carolina Inc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1073957064
PECOS PAC ID: 2062651185
Enrollment ID: O20130621000455 |
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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. Stephanie Suzanne Gillam 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 |
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Stephanie Suzanne Gillam, PT, DPT
411 Birchbark Ln,
Lyman, SC 29365-1356
Ph: () - | Stephanie Suzanne Gillam, PT, DPT
411 Birchbark Ln,
Lyman, SC 29365-1356
Ph: (585) 747-4704 |
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