Dr Gina Y Jordan, MD | |
27 Kemmerlin Lane, Beaufort, SC 29907-3402 | |
(843) 524-2100 | |
(843) 525-9613 |
Full Name | Dr Gina Y Jordan |
---|---|
Gender | Female |
Speciality | Emergency Medicine - Emergency Medical Services |
Location | 27 Kemmerlin Lane, Beaufort, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1225032741 | NPI | - | NPPES |
57 1060903 | Other | TAX ID | |
GP1566 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 24049 (South Carolina) | Secondary |
207PE0004X | Emergency Medicine - Emergency Medical Services | 24049 (South Carolina) | Primary |
Entity Name | University Of Maryland Emergency Medicine Associates Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1144271743 PECOS PAC ID: 1951294941 Enrollment ID: O20040204000360 |
Entity Name | University Of Maryland Midtown Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710347729 PECOS PAC ID: 1557640356 Enrollment ID: O20161118001423 |
Mailing Address | Practice Location Address |
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Dr Gina Y Jordan, MD 27 Kemmerlin Lane, Beaufort, SC 29907-3402 Ph: (843) 524-2100 | Dr Gina Y Jordan, MD 27 Kemmerlin Lane, Beaufort, SC 29907-3402 Ph: (843) 524-2100 |
Evan Daniel Kane, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Emergency Dept, Beaufort, SC 29902 Phone: 843-522-5200 | |
Saeed U. Rehman, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5200 | |
Pamela Sue Grim, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 32 Sea Gull Drive, Beaufort, SC 29907 Phone: 843-441-3104 Fax: 843-441-3104 | |
Dr. Christian W Jansen, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-5577 Fax: 843-228-5196 | |
Harold Dick Cross, MD Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 272 Robert Smalls Pkwy, Suite 320, Beaufort, SC 29906 Phone: 843-521-4357 Fax: 843-521-4566 | |
Dr. Luke D Baxley, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 955 Ribaut Rd, Beaufort, SC 29902 Phone: 843-522-5202 | |
Dr. Charles Spencer Bibbs, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1 Pinckney Blvd, Beaufort, SC 29902 Phone: 843-228-3200 |