Mr Myles Sidney Jerdan, MEDICAL DOCTOR - Medicare Dermatology in Lagrange, GA

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Mr Myles Sidney Jerdan, MEDICAL DOCTOR is a medicare enrolled "Dermatology" physician in Lagrange, Georgia. He went to University Of Illinois College Of Med (chi/peor/rock/chm-urb) and graduated in 1979 and has 45 years of diverse experience with area of expertise as Dermatology. He is a member of the group practice Dermatology Specialists Of Georgia Llc, Southeastern Dermatology Group Pa and his current practice location is 1605 Whitesville St, Lagrange, Georgia. You can reach out to his office (for appointments etc.) via phone at (877) 231-3376.

Mr Myles Sidney Jerdan is licensed to practice in Georgia (license number 30796) 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 1770549701.

Contact Information

Mr Myles Sidney Jerdan, MEDICAL DOCTOR
1605 Whitesville St,
Lagrange, GA 30240-5903
(877) 231-3376
(850) 522-8354

Map and Direction




Physician's Profile

Full NameMr Myles Sidney Jerdan
GenderMale
SpecialityDermatology
Experience45 Years
Location1605 Whitesville St, Lagrange, Georgia
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mr Myles Sidney Jerdan attended and graduated from University Of Illinois College Of Med (chi/peor/rock/chm-urb) in 1979
  NPI Data:
  • NPI Number: 1770549701
  • Provider Enumeration Date: 04/26/2006
  • Last Update Date: 08/28/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880616713
  • Enrollment ID: I20120104000207

Medical Identifiers

Medical identifiers for Mr Myles Sidney Jerdan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770549701NPI-NPPES
Q053605MedicaidTN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 60136 (Tennessee)Secondary
207N00000XDermatology D30796 (Georgia)Secondary
207ND0900XDermatology - Dermatopathology 030796 (Georgia)Secondary
207N00000XDermatology 30796 (Georgia)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Wellstar West Georgia Medical CenterLagrange, GAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Dermatology Specialists Of Georgia Llc579977062411
Southeastern Dermatology Group Pa993127723342

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 Myles Sidney Jerdan allows following entities to bill medicare on his behalf.
Entity NameMarietta Dermatology Associates Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1417007212
PECOS PAC ID: 6507850120
Enrollment ID: O20040414001077
Entity NameDermatology Specialists Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437298957
PECOS PAC ID: 5799770624
Enrollment ID: O20040419001229
Entity NameDermatology Consultants Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851421531
PECOS PAC ID: 0941276141
Enrollment ID: O20040909000039
Entity NameSoutheastern Dermatology Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518972231
PECOS PAC ID: 9931277233
Enrollment ID: O20130218000437

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 Myles Sidney Jerdan 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
Mr Myles Sidney Jerdan, MEDICAL DOCTOR
2505 Harrison Ave,
Panama City, FL 32405-4464

Ph: (850) 233-3376		Mr Myles Sidney Jerdan, MEDICAL DOCTOR
1605 Whitesville St,
Lagrange, GA 30240-5903

Ph: (877) 231-3376

Reviews and Comments


Dermatology Doctors in Lagrange, GA

Mr. Garin Daniel Barth, MD
Dermatology
Medicare: Not Enrolled in Medicare
Practice Location: 1605 Whitesville St, Lagrange, GA 30240
Phone: 706-882-5119    Fax: 706-882-0270

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.