Mrs Jill Rogers Tisdale, - Psychologist in Lake City, SC

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Mrs Jill Rogers Tisdale, is a Psychologist - School based in Lake City, South Carolina. Mrs Jill Rogers Tisdale is licensed to practice in South Carolina (license number 180404) and her current practice location is 318 E Main St, Lake City, South Carolina. She can be reached at her office (for appointments etc.) via phone at (843) 374-2393.

NPI number for Mrs Jill Rogers Tisdale is 1720426422 and her current mailing address is Po Box 1389, Lake City, South Carolina. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720426422.

Contact Information

Mrs Jill Rogers Tisdale,
318 E Main St,
Lake City, SC 29560-2116
(843) 374-2393
(843) 374-7245

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Healthcare Provider's Profile

Full NameMrs Jill Rogers Tisdale
GenderFemale
SpecialityPsychologist - School
Location318 E Main St, Lake City, South Carolina
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1720426422
  • Provider Enumeration Date: 06/05/2013
  • Last Update Date: 06/05/2013

Medical Identifiers

Medical identifiers for Mrs Jill Rogers Tisdale such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1720426422NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 180404 (South Carolina)Primary

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. Mrs Jill Rogers Tisdale is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Jill Rogers Tisdale,
Po Box 1389,
Lake City, SC 29560-1389

Ph: (843) 374-2393		Mrs Jill Rogers Tisdale,
318 E Main St,
Lake City, SC 29560-2116

Ph: (843) 374-2393

Reviews and Comments


Psychologist in Lake City, SC

Mrs. Melissa Askins, SCHOOL PSYCHOLOGIST
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 318 E Main St, Lake City, SC 29560
Phone: 843-374-3353    
Mrs. Jan Downer Kight,
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 318 E Main St, Lake City, SC 29560
Phone: 843-374-3353    

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