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MEDRINA B GILLIAM DDS
NPI 1952371783
Dentist - General Practice in Florence, SC

Active since January 24, 2006PECOS Enrolled
3217 LAKESHORE DR, FLORENCE, SC 29501(803) 420-6344(843) 673-0024 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Medrina B Gilliam Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDRINA B GILLIAM DDS (NPI 1952371783) is an individual general practice provider in Florence, South Carolina, licensed in South Carolina (2919) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952371783
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameMEDRINA B GILLIAMCredential: DDS
Location Address3217 LAKESHORE DRFlorence, SC 29501-8231
Mailing Address3217 Lakeshore DrFlorence, SC 29501-8231 · (803) 420-6344
Phone(803) 420-6344
Fax(843) 673-0024
Sole ProprietorNo
Enumeration DateJanuary 24, 2006
Last NPPES UpdateMarch 14, 2025
NPPES CertifiedMarch 14, 2025
✔ NPI 1952371783 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in SC · 2919
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
3217 LAKESHORE DR, Florence, SC 29501
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Other Identifiers 1

MedicaidZ29194SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Medrina B Gilliam Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Medrina Gilliam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mashpee Service Unit/Indian Health Service
724 mi
Community Health
483 GREAT NECK ROAD SOUTH, BUILDING 002-HEALTH CLINIC
Mashpee, MA 02649
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1992001457 (508) 477-0209

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medrina Gilliam's NPI number?

The NPI number for Medrina Gilliam is 1952371783. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Medrina Gilliam located?

Medrina Gilliam practices at 3217 Lakeshore Dr, Florence, SC 29501. The listed phone number is (803) 420-6344.

What is Medrina Gilliam's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Medrina Gilliam enrolled in Medicare?

Yes. Medrina Gilliam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Medrina Gilliam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Medrina Gilliam reassigns Medicare benefits to Mashpee Service Unit/Indian Health Service (Mashpee, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Medrina Gilliam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Medrina Gilliam accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Medrina Gilliam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Medrina Gilliam was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.