Terry H Ezell, MD in Rock Hill, SC

Terry H Ezell, MD is a medicare enrolled "Urology" physician in Rock Hill, South Carolina. His current practice location is 1780 Medical Park Dr, Rock Hill, South Carolina. You can reach out to his office (for appointments etc.) via phone at (803) 327-1116.

Terry H Ezell is licensed to practice in South Carolina (license number 17708) 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 1083788673.

Contact Information

	Terry H Ezell, MD
	1780 Medical Park Dr, Rock Hill, SC 29732-1194
	(803) 327-1116
	(803) 327-6872

Map and Direction

Physician's Profile

Full Name	Terry H Ezell
Gender	Male
Speciality	Urology
Location	1780 Medical Park Dr, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083788673
Provider Enumeration Date: 11/17/2006
Last Update Date: 03/31/2015

Medicare PECOS Information:

PECOS PAC ID: 5294890364
Enrollment ID: I20110418000624

Medical Identifiers

Medical identifiers for Terry H Ezell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083788673	NPI	-	NPPES
89136H3	Medicaid	NC
0005525006	Other	SC	AETNA
136H3	Other	NC	BCBS OF NC
57365	Other	SC	MEDCOST
1905786	Other	SC	UNITED HEALTHCARE
279866	Other	SC	MAMSI
177089	Medicaid	SC
760694	Other	SC	GREAT WEST

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208800000X	Urology	17708 (South Carolina)	Primary
208800000X	Urology	95-00570 (North Carolina)	Secondary

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. Terry H Ezell allows following entities to bill medicare on his behalf.

Entity Name	Carolina Urology Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013210004 PECOS PAC ID: 8921280587 Enrollment ID: O20110411000681

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. Terry H Ezell 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
Terry H Ezell, MD 9735 Kincey Ave, Suite 201, Huntersville, NC 28078-9118 Ph: (704) 414-2870	Terry H Ezell, MD 1780 Medical Park Dr, Rock Hill, SC 29732-1194 Ph: (803) 327-1116

Reviews and Comments

Urology Doctors in Rock Hill, SC

Matthew Newsome, MD Urology Medicare: Medicare Enrolled Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872
Ashima Singal, MD Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 033-271-1168 Fax: 803-327-6872
Dr. Christian E Magura, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872
Thomas H Douglas, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872
David K Wright, M.D. Urology Medicare: Accepting Medicare Assignments Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872
Albert G Leroy Jr., M.D. Urology Medicare: Not Enrolled in Medicare Practice Location: 1780 Medical Park Dr, Rock Hill, SC 29732 Phone: 803-327-1116 Fax: 803-327-6872

Terry H Ezell, MD - Medicare Urology in Rock Hill, SC