Terrius Dequone Burgess, is a
Counselor based in Timmonsville, South Carolina. Terrius Dequone Burgess is licensed to practice in * (Not Available) (license number ) and his current practice location is
205 W Smith St, Timmonsville, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(843) 420-5015.
NPI number for Terrius Dequone Burgess is 1851028559 and his current mailing address is 205 W Smith St, Timmonsville, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1851028559.
Healthcare Provider's Profile
| Full Name | Terrius Dequone Burgess |
|---|
| Gender | Male |
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| Speciality | Counselor |
|---|
| Location | 205 W Smith St, Timmonsville, South Carolina |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1851028559
- Provider Enumeration Date: 08/03/2022
- Last Update Date: 08/03/2022
Medical Identifiers
Medical identifiers for Terrius Dequone Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851028559 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | 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. Terrius Dequone Burgess 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 |
|---|
Terrius Dequone Burgess,
205 W Smith St,
Timmonsville, SC 29161-1739
Ph: (843) 420-5015 | Terrius Dequone Burgess,
205 W Smith St,
Timmonsville, SC 29161-1739
Ph: (843) 420-5015 |
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