Kershaw Hospital Llc - Medicare Primary Care in Camden, SC

Kershaw Hospital Llc is a medicare enrolled primary clinic (Family Medicine) in Camden, South Carolina. The current practice location for Kershaw Hospital Llc is 1315 Roberts St, Camden, South Carolina. For appointments, you can reach them via phone at (803) 432-4311. The mailing address for Kershaw Hospital Llc is 1315 Roberts St, Camden, South Carolina and phone number is (803) 432-4311.

Kershaw Hospital Llc is licensed to practice in South Carolina (license number ). The clinic also participates in the medicare program and its NPI number is 1316322027. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (803) 432-4311.

Contact Information

Kershaw Hospital Llc
1315 Roberts St
Camden
SC 29020-3737
(803) 432-4311
(803) 713-6384

Map and Direction


Primary Care Clinic Profile

Full NameKershaw Hospital Llc
SpecialityFamily Medicine
Location1315 Roberts St, Camden, South Carolina
Authorized Official Name and PositionTerrance Dillon (ASSISTANT SECRETARY)
Authorized Official Contact5025967220
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kershaw Hospital Llc
1315 Roberts St
Camden
SC 29020-3737

Ph: (803) 432-4311
Kershaw Hospital Llc
1315 Roberts St
Camden
SC 29020-3737

Ph: (803) 432-4311

NPI Details:

NPI Number1316322027
Provider Enumeration Date07/23/2015
Last Update Date04/25/2022

Medicare PECOS Information:

Medicare PECOS PAC ID2668773698
Medicare Enrollment IDO20151221002384

Medical Identifiers

Medical identifiers for Kershaw Hospital Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316322027NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine (South Carolina)Primary
207RX0202XInternal Medicine - Medical Oncology (* (Not Available))Secondary
363L00000XNurse Practitioner (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. Kershaw Hospital Llc acts as a billing entity for following providers:
Provider NameChaudry M Mushtaq
Provider TypePractitioner - Medical Oncology
Provider IdentifiersNPI Number: 1942281399
PECOS PAC ID: 3476466442
Enrollment ID: I20031106000688
Provider NameRobert B Borucki
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1700882776
PECOS PAC ID: 6608772090
Enrollment ID: I20031208000762
Provider NamePhillip E Baldwin
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1215918545
PECOS PAC ID: 4587562525
Enrollment ID: I20040120000694
Provider NameJennifer B Abrams
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1104899210
PECOS PAC ID: 5799738126
Enrollment ID: I20050225000426
Provider NameSuzanne L Schwab
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1699786749
PECOS PAC ID: 2769406420
Enrollment ID: I20060120000331
Provider NameGuy B Kahler
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1376506154
PECOS PAC ID: 7618070137
Enrollment ID: I20070321000127
Provider NamePatrick Martin Omalley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1144350588
PECOS PAC ID: 7719076389
Enrollment ID: I20071204000738
Provider NameJean D Kohn
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457323339
PECOS PAC ID: 5991887812
Enrollment ID: I20080131000368
Provider NameJoel Stephen Waldrop
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1336128016
PECOS PAC ID: 8527135003
Enrollment ID: I20080925000167
Provider NameMohamed El Geneidy
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1447474978
PECOS PAC ID: 9335292903
Enrollment ID: I20090729000407
Provider NameShelley L Janssen
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1124089693
PECOS PAC ID: 4284608399
Enrollment ID: I20100107000598
Provider NameAnne S Hutchison
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1417068347
PECOS PAC ID: 7416140736
Enrollment ID: I20101019001397
Provider NameElaine Baxley
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1831150226
PECOS PAC ID: 0143405035
Enrollment ID: I20110419000263
Provider NameScott R Sommers
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1932275336
PECOS PAC ID: 3971698184
Enrollment ID: I20110802000380
Provider NameWoodrow J Coker
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1508028366
PECOS PAC ID: 5294904496
Enrollment ID: I20110804000114
Provider NameKelly Warnock
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578850947
PECOS PAC ID: 9436316999
Enrollment ID: I20120210000537
Provider NameCharles M Butler
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1881725364
PECOS PAC ID: 1456517994
Enrollment ID: I20120727000009
Provider NameSteven M Minter
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1649431990
PECOS PAC ID: 2365684271
Enrollment ID: I20130806000135
Provider NameElizabeth A Harleston
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1194089789
PECOS PAC ID: 1052537511
Enrollment ID: I20140718002085
Provider NameVicky F Craig
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1326453622
PECOS PAC ID: 6800199282
Enrollment ID: I20160119000676
Provider NameSara B Woodberry
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336507623
PECOS PAC ID: 9234421975
Enrollment ID: I20160715002003
Provider NameSusan G Bowers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1629420286
PECOS PAC ID: 6608161377
Enrollment ID: I20160818002721
Provider NameStephanie Ritchey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1255821062
PECOS PAC ID: 1052662509
Enrollment ID: I20180921000685

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.