Mr Myles Sidney Jerdan, MEDICAL DOCTOR is a medicare enrolled "Dermatology" physician in Lagrange, Georgia. 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.
Physician's Profile
| Full Name | Mr Myles Sidney Jerdan |
|---|
| Gender | Male |
|---|
| Speciality | |
|---|
| Experience | Years |
|---|
| Location | 1605 Whitesville St, Lagrange, Georgia |
|---|
| 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:
- Mr Myles Sidney Jerdan attended and graduated from in
NPI Data:
- NPI Number: 1770549701
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 08/28/2020
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Mr Myles Sidney Jerdan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1770549701 | NPI | - | NPPES |
| Q053605 | Medicaid | TN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207N00000X | Dermatology | 60136 (Tennessee) | Secondary |
| 207N00000X | Dermatology | D30796 (Georgia) | Secondary |
| 207ND0900X | Dermatology - Dermatopathology | 030796 (Georgia) | Secondary |
| 207N00000X | Dermatology | 30796 (Georgia) | 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 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 Address | Practice 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