Dr Gerald Francis Congdon, MD - Medicare Family Practice in Pawleys Island, SC

Dr Gerald Francis Congdon, MD is a medicare enrolled "Family Medicine" physician in Pawleys Island, South Carolina. He graduated from medical school in 1995 and has 29 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Coastal Wellness Center Llc, Medcare Express - North Charleston Llc and his current practice location is 201 Business Center Dr, Pawleys Island, South Carolina. You can reach out to his office (for appointments etc.) via phone at (888) 467-1117.

Dr Gerald Francis Congdon is licensed to practice in South Carolina (license number 19721) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1568446326.

Contact Information

Dr Gerald Francis Congdon, MD
201 Business Center Dr,
Pawleys Island, SC 29585-6522
(888) 467-1117
(888) 990-3903

Map and Direction




Physician's Profile

Full NameDr Gerald Francis Congdon
GenderMale
SpecialityFamily Practice
Experience29 Years
Location201 Business Center Dr, Pawleys Island, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Gerald Francis Congdon graduated from medical school in 1995
  NPI Data:
  • NPI Number: 1568446326
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 09/24/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 0345329835
  • Enrollment ID: I20080508000785

Medical Identifiers

Medical identifiers for Dr Gerald Francis Congdon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1568446326NPI-NPPES
197218MedicaidSC
19721MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 19721 (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. Dr Gerald Francis Congdon allows following entities to bill medicare on his behalf.
Entity NameMedcare Express - North Charleston Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457579617
PECOS PAC ID: 7618074899
Enrollment ID: O20070523000200
Entity NameCoastal Wellness Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902077266
PECOS PAC ID: 2163723123
Enrollment ID: O20151216000373
Entity NameCoastal Urgent Care & Family Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467628867
PECOS PAC ID: 7719278480
Enrollment ID: O20160628000963

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 Gerald Francis Congdon 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 AddressPractice Location Address
Dr Gerald Francis Congdon, MD
201 Business Center Dr,
Pawleys Island, SC 29585-6522

Ph: (888) 467-1117
Dr Gerald Francis Congdon, MD
201 Business Center Dr,
Pawleys Island, SC 29585-6522

Ph: (888) 467-1117

Reviews and Comments


Family Medicine Doctors in Pawleys Island, SC

Kent Bryce Loader, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9699 Ocean Hwy, Pawleys Island, SC 29585
Phone: 843-237-4296    Fax: 843-237-0495
Dr. Richard Andrew Philipp Ii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9699 Ocean Hwy, Pawleys Island, SC 29585
Phone: 843-237-4296    Fax: 843-237-0495
Edward Scott Brumfield, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9699 Ocean Hwy, Georgetown Health Group, Pawleys Island, SC 29585
Phone: 843-237-4296    Fax: 843-237-0495
Ms. Kimberley Anastasia Drayton, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 9699 Ocean Hwy, Pawleys Island, SC 29585
Phone: 843-237-4296    Fax: 843-756-9260
Dr. Robert H. Fabrey Ii, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 116 Baskervill Dr, Pawleys Island, SC 29585
Phone: 843-237-2672    Fax: 843-237-0369
Jack Sutcliffe,
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 9699 Ocean Hwy, Pawleys Island, SC 29585
Phone: 843-237-4296    Fax: 843-237-0495

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.