Chanda Trishaune Elzie Medlock, DDS in Okatie, SC

Chanda Trishaune Elzie Medlock, DDS is a medicare enrolled "Dentist - General Practice" provider in Okatie, South Carolina. Her current practice location is 719 Okatie Hwy # 170, Okatie, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 987-7400.

Chanda Trishaune Elzie Medlock is licensed to practice in South Carolina (license number 4669) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1073531968.

Contact Information

	Chanda Trishaune Elzie Medlock, DDS
	719 Okatie Hwy # 170, Okatie, SC 29909-3963
	(843) 987-7400
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Chanda Trishaune Elzie Medlock
Gender	Female
Speciality	Dentist - General Practice
Location	719 Okatie Hwy # 170, Okatie, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073531968
Provider Enumeration Date: 07/18/2006
Last Update Date: 03/11/2020

Medicare PECOS Information:

PECOS PAC ID: 8820374424
Enrollment ID: I20170414000094

Medical Identifiers

Medical identifiers for Chanda Trishaune Elzie Medlock such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073531968	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	011979 (Georgia)	Secondary
1223G0001X	Dentist - General Practice	4669 (South Carolina)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Chanda Trishaune Elzie Medlock allows following entities to bill medicare on her behalf.

Entity Name	Beaufort Jasper Hampton Comprehensive Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262

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. Chanda Trishaune Elzie Medlock is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Chanda Trishaune Elzie Medlock, DDS Po Box 357, Ridgeland, SC 29936-2605 Ph: (843) 987-7400	Chanda Trishaune Elzie Medlock, DDS 719 Okatie Hwy # 170, Okatie, SC 29909-3963 Ph: (843) 987-7400

Reviews and Comments

Dentist in Okatie, SC

Steven Lopez, Dentist Medicare: Medicare Enrolled Practice Location: 719 Okatie Hwy, Okatie, SC 29909 Phone: 843-987-7400
Dr. Arlene Martin, DDS Dentist Medicare: Medicare Enrolled Practice Location: 719 Okatie Hwy # 170, Okatie, SC 29909 Phone: 843-987-7400
Dr. Katherine Elizabeth Abell, DMD Dentist Medicare: Medicare Enrolled Practice Location: 40 Okatie Center Blvd S Ste 302, Okatie, SC 29909 Phone: 843-706-9662 Fax: 843-706-9688
Dr. Byron A Davis, D.D.S, M.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 4 Okatie Center Blvd S Ste 103, Okatie, SC 29909 Phone: 843-705-9551 Fax: 843-705-9552
Dr. John C. Eliassen, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 719 Okatie Hwy # 170, Okatie, SC 29909 Phone: 843-987-7400
Dr. Jonathan Carl Harroff, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 4 Twinkling Ct, Okatie, SC 29909 Phone: 574-370-2924

Chanda Trishaune Elzie Medlock, DDS - Medicare Dentist in Okatie, SC