Mr Jonathan Tanner Hodgin, is a medicare enrolled "Physician Assistant" physician in Greer, South Carolina. His current practice location is
310 The Pkwy, Greer, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(864) 877-0776.
Mr Jonathan Tanner Hodgin is licensed to practice in * (Not Available) (license number ) 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 1841811437.
Physician's Profile
Full Name | Mr Jonathan Tanner Hodgin |
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Gender | Male |
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Speciality | Physician Assistant |
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Location | 310 The Pkwy, Greer, 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. |
NPI Data:
- NPI Number: 1841811437
- Provider Enumeration Date: 05/05/2020
- Last Update Date: 01/11/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678989373
- Enrollment ID: I20210303003500
Medical Identifiers
Medical identifiers for Mr Jonathan Tanner Hodgin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841811437 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | MPA.3823 (South Carolina) | Secondary |
363A00000X | Physician Assistant | (* (Not Available)) | Primary |
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 Jonathan Tanner Hodgin 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 |
Mr Jonathan Tanner Hodgin, 310 The Pkwy, Greer, SC 29650-4569 Ph: (864) 877-0776 | Mr Jonathan Tanner Hodgin, 310 The Pkwy, Greer, SC 29650-4569 Ph: (864) 877-0776 |
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