Dr Jerome Yelder Sr, PHD PSYD MBA MS MP is a
Psychologist - Prescribing (medical) based in Columbia, South Carolina. Dr Jerome Yelder Sr is licensed to practice in South Carolina (license number 159AMP) and his current practice location is
1101 Belleview St Ste 104, Columbia, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 937-1623.
NPI number for Dr Jerome Yelder Sr is 1548551278 and his current mailing address is 1101 Belleview St Ste 104, Columbia, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1548551278.
Healthcare Provider's Profile
| Full Name | Dr Jerome Yelder Sr |
|---|
| Gender | Male |
|---|
| Speciality | Psychologist - Prescribing (medical) |
|---|
| Location | 1101 Belleview St Ste 104, Columbia, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1548551278
- Provider Enumeration Date: 04/28/2011
- Last Update Date: 07/08/2020
Medical Identifiers
Medical identifiers for Dr Jerome Yelder Sr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548551278 | NPI | - | NPPES |
| GP7839 | Medicaid | SC | |
| 273614612 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 45428 (South Carolina) | Secondary |
| 101YP1600X | Counselor - Pastoral | 61388 (South Carolina) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 573768 (South Carolina) | Secondary |
| 171000000X | Military Health Care Provider | 159AMP (South Carolina) | Secondary |
| 171W00000X | Contractor | 73276 (South Carolina) | Secondary |
| 174H00000X | Health Educator | 73276 (South Carolina) | Secondary |
| 1835P0018X | Pharmacist - Pharmacist Clinician (phc)/ Clinical Pharmacy Specialist | 5768 (South Carolina) | Secondary |
| 208VP0014X | Pain Medicine - Interventional Pain Medicine | 159AMP (South Carolina) | Secondary |
| 103TP0016X | Psychologist - Prescribing (medical) | 159AMP (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. Dr Jerome Yelder Sr 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 Address | Practice Location Address |
|---|
Dr Jerome Yelder Sr, PHD PSYD MBA MS MP
1101 Belleview St Ste 104,
Columbia, SC 29201-1863
Ph: (803) 937-1623 | Dr Jerome Yelder Sr, PHD PSYD MBA MS MP
1101 Belleview St Ste 104,
Columbia, SC 29201-1863
Ph: (803) 937-1623 |
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