Jack Legrand Depriest, MD in Columbia, SC - Medicare Critical Care (intensivists)

Jack Legrand Depriest, MD is a medicare enrolled "Internal Medicine - Critical Care Medicine" physician in Columbia, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Critical Care (intensivists). He is a member of the group practice Prisma Health Medical Group-midlands and his current practice location is 1 Richland Medical Park Dr Ste 300, Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 545-5500.

Jack Legrand Depriest is licensed to practice in South Carolina (license number 81661) 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 1881699957.

Contact Information

	Jack Legrand Depriest, MD
	1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831
	(803) 545-5500
	Not Available

Map and Direction

Physician's Profile

Full Name	Jack Legrand Depriest
Gender	Male
Speciality	Critical Care (intensivists)
Experience	38 Years
Location	1 Richland Medical Park Dr Ste 300, Columbia, South Carolina
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Jack Legrand Depriest attended and graduated from Medical University Of South Carolina College Of Medicine in 1986

NPI Data:

NPI Number: 1881699957
Provider Enumeration Date: 06/16/2005
Last Update Date: 07/23/2024

Medicare PECOS Information:

PECOS PAC ID: 9638100969
Enrollment ID: I20181208000403

Medical Identifiers

Medical identifiers for Jack Legrand Depriest such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881699957	NPI	-	NPPES
816610	Medicaid	SC
001699305	Medicaid	PA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RC0200X	Internal Medicine - Critical Care Medicine	MD065996L (Pennsylvania)	Secondary
208M00000X	Hospitalist	23454 (West Virginia)	Secondary
207RC0200X	Internal Medicine - Critical Care Medicine	81661 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Palmetto Health Hospice	Columbia, SC	Hospice
Prisma Health Richland Hospital	Columbia, SC	Hospital
Prisma Health Baptist	Columbia, SC	Hospital
Prisma Health Baptist Parkridge	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health Medical Group-midlands	5991099707	881

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. Jack Legrand Depriest allows following entities to bill medicare on his behalf.

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Jack Legrand Depriest 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
Jack Legrand Depriest, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Jack Legrand Depriest, MD 1 Richland Medical Park Dr Ste 300, Columbia, SC 29203-6831 Ph: (803) 545-5500

Reviews and Comments

Internal Medicine Doctors in Columbia, SC

William Cole Andrew, D.O. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 14 Richland Medical Park Dr Ste 320, Columbia, SC 29203 Phone: 803-434-8721
Seetharamprasad Madala, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153 Fax: 803-434-4160
Michael Martin, Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 2 Medical Park Rd, Columbia, SC 29203 Phone: 803-434-6956
Dr. Terry A Grainger, MD Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 8 Richland Medical Park Dr Ste 100, Columbia, SC 29203 Phone: 803-434-3800 Fax: 803-744-2759
Dr. Adelero Olayinka Adebajo, M.D. Critical Care Medicine Medicare: Accepting Medicare Assignments Practice Location: 1520 Laurel St, Columbia, SC 29201 Phone: 803-799-8407 Fax: 803-252-9070
James Pratt Iii, MD Critical Care Medicine Medicare: Not Enrolled in Medicare Practice Location: 1801 Sunset Dr, Columbia, SC 29203 Phone: 803-434-4153
Jeff Z Brooker Jr., MD, RETIRED Critical Care Medicine Medicare: Medicare Enrolled Practice Location: 1625 Bernardin Ave, Columbia, SC 29204 Phone: 803-251-8985

Jack Legrand Depriest, MD - Medicare Critical Care (intensivists) in Columbia, SC