Mac Everett Jolly, DO - Medicare General Practice in Conway, SC

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Mac Everett Jolly, DO is a medicare enrolled "General Practice" physician in Conway, South Carolina. His current practice location is 300 Singleton Ridge Road, Conway, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 347-8134.

Mac Everett Jolly is licensed to practice in Arizona (license number 011162) 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 1407542384.

Contact Information

Mac Everett Jolly, DO
300 Singleton Ridge Road,
Conway, SC 29526-9142
(843) 347-8134
Not Available

Map and Direction




Physician's Profile

Full NameMac Everett Jolly
GenderMale
SpecialityGeneral Practice
Location300 Singleton Ridge Road, Conway, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407542384
  • Provider Enumeration Date: 04/13/2023
  • Last Update Date: 08/01/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 3274064167
  • Enrollment ID: I20241002003020

Medical Identifiers

Medical identifiers for Mac Everett Jolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407542384NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 011162 (Arizona)Secondary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary
208D00000XGeneral Practice 011162 (Arizona)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. Mac Everett Jolly allows following entities to bill medicare on his behalf.
Entity NameSignify Health Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689158487
PECOS PAC ID: 3274895263
Enrollment ID: O20210305000869

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. Mac Everett Jolly 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
Mac Everett Jolly, DO
300 Singleton Ridge Road,
Conway, SC 29526-9142

Ph: (843) 347-8134		Mac Everett Jolly, DO
300 Singleton Ridge Road,
Conway, SC 29526-9142

Ph: (843) 347-8134

Reviews and Comments


General Practice Doctors in Conway, SC

Dr. James Dugan Thorderson, DO
General Practice
Medicare: Medicare Enrolled
Practice Location: 300 Singleton Ridge Rd, Conway, SC 29526
Phone: 843-347-8134    

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.