Mr Cecil Bryan Jordan Ii, MD is a medicare enrolled "Family Medicine" physician in St George, South Carolina. He went to Medical University Of South Carolina College Of Medicine and graduated in 1983 and has 41 years of diverse experience with area of expertise as Family Practice. His current practice location is
109 Dukes St, St George, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 563-2484.
Mr Cecil Bryan Jordan Ii is licensed to practice in South Carolina (license number 11810) 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 1487695417.
Physician's Profile
| Full Name | Mr Cecil Bryan Jordan Ii |
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| Gender | Male |
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| Speciality | Family Practice |
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| Experience | 41 Years |
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| Location | 109 Dukes St, St George, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Cecil Bryan Jordan Ii attended and graduated from Medical University Of South Carolina College Of Medicine in 1983
NPI Data:
- NPI Number: 1487695417
- Provider Enumeration Date: 06/09/2006
- Last Update Date: 01/08/2010
Medicare PECOS Information:
- PECOS PAC ID: 8224016472
- Enrollment ID: I20120313000961
Medical Identifiers
Medical identifiers for Mr Cecil Bryan Jordan Ii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487695417 | NPI | - | NPPES |
| 118107 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 11810 (South Carolina) | Primary |
Medical Facilities Affiliation
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. Mr Cecil Bryan Jordan Ii allows following entities to bill medicare on his behalf.
| Entity Name | Cecil Bryan Jordan Ii |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1215110697
PECOS PAC ID: 1355500182
Enrollment ID: O20120313000947 |
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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. Mr Cecil Bryan Jordan Ii 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 |
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Mr Cecil Bryan Jordan Ii, MD
109 Dukes St,
St George, SC 29477
Ph: (843) 563-2484 | Mr Cecil Bryan Jordan Ii, MD
109 Dukes St,
St George, SC 29477
Ph: (843) 563-2484 |
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