Brandon Ithiel Esianor, MD is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charleston, South Carolina. His current practice location is
171 Ashley Ave, Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 792-1414.
Brandon Ithiel Esianor is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1083111645.
Physician's Profile
Full Name | Brandon Ithiel Esianor |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 171 Ashley Ave, Charleston, South Carolina |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083111645
- Provider Enumeration Date: 04/10/2018
- Last Update Date: 07/18/2024
Medicare PECOS Information:
- PECOS PAC ID: 3779026232
- Enrollment ID: I20240625002012
Medical Identifiers
Medical identifiers for Brandon Ithiel Esianor such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083111645 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207YP0228X | Otolaryngology - Pediatric Otolaryngology | 91595 (South Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Brandon Ithiel Esianor allows following entities to bill medicare on his behalf.
Entity Name | University Medical Associates Of The Medical University Of South Carol |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574 Enrollment ID: O20031105000291 |
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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. Brandon Ithiel Esianor 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 |
Brandon Ithiel Esianor, MD Po Box 751461, Charlotte, NC 28275-1461 Ph: () - | Brandon Ithiel Esianor, MD 171 Ashley Ave, Charleston, SC 29425 Ph: (843) 792-1414 |
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