Dr Henry S Jordan Jr, MD is a medicare enrolled "Surgery" physician in Union, South Carolina. His current practice location is
323 W South St, Union, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 427-6058.
Dr Henry S Jordan Jr is licensed to practice in South Carolina (license number 6770) 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 1770534893.
Physician's Profile
| Full Name | Dr Henry S Jordan Jr |
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| Gender | Male |
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| Speciality | Surgery |
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| Location | 323 W South St, Union, 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. |
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NPI Data:
- NPI Number: 1770534893
- Provider Enumeration Date: 05/13/2006
- Last Update Date: 09/12/2013
Medicare PECOS Information:
- PECOS PAC ID: 0547223273
- Enrollment ID: I20070802000033
Medical Identifiers
Medical identifiers for Dr Henry S Jordan Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770534893 | NPI | - | NPPES |
| 67705 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207P00000X | Emergency Medicine | 014518 (Georgia) | Secondary |
| 208600000X | Surgery | 6770 (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 Henry S Jordan Jr allows following entities to bill medicare on his behalf.
| Entity Name | Mcleod Physician Associates Ii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1801990494
PECOS PAC ID: 8224031307
Enrollment ID: O20060926000568 |
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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. Dr Henry S Jordan Jr 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 |
|---|
Dr Henry S Jordan Jr, MD
Po Box 602573,
Charlotte, NC 28260-2573
Ph: (864) 427-4081 | Dr Henry S Jordan Jr, MD
323 W South St,
Union, SC 29379-2838
Ph: (864) 427-6058 |
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