Trace Christopher Deighan, MD in Greenville, SC - Medicare Obstetrics & Gynecology

Trace Christopher Deighan, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Greenville, South Carolina. His current practice location is 1120 Grove Rd, Greenville, South Carolina. You can reach out to his office (for appointments etc.) via phone at (864) 455-8897.

Trace Christopher Deighan is licensed to practice in South Carolina (license number 41009) 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 1134658420.

Contact Information

	Trace Christopher Deighan, MD
	1120 Grove Rd, Greenville, SC 29605-4656
	(864) 455-8897
	(864) 455-8555

Map and Direction

Physician's Profile

Full Name	Trace Christopher Deighan
Gender	Male
Speciality	Obstetrics & Gynecology
Location	1120 Grove Rd, Greenville, 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: 1134658420
Provider Enumeration Date: 06/08/2017
Last Update Date: 07/21/2022

Medicare PECOS Information:

PECOS PAC ID: 8426323627
Enrollment ID: I20220621002461

Medical Identifiers

Medical identifiers for Trace Christopher Deighan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134658420	NPI	-	NPPES
PENDING	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207V00000X	Obstetrics & Gynecology	41009 (South Carolina)	Primary

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. Trace Christopher Deighan allows following entities to bill medicare on his behalf.

Entity Name	Cooperative Healthcare Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222

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. Trace Christopher Deighan 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
Trace Christopher Deighan, MD 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Trace Christopher Deighan, MD 1120 Grove Rd, Greenville, SC 29605-4656 Ph: (864) 455-8897

Reviews and Comments

Obstetrics & Gynecology Doctors in Greenville, SC

Melisa Marian Holmes, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 890 W Faris Rd, Suite 470, Greenville, SC 29605 Phone: 864-455-1600
Dr. Megan Malone Schellinger, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd, Ste 470, Greenville, SC 29605 Phone: 864-455-1600 Fax: 864-455-3095
John V Dacus, M.D. Obstetrics & Gynecology Medicare: Not Enrolled in Medicare Practice Location: 890 W Faris Rd Ste 470, Greenville, SC 29605 Phone: 864-455-1600 Fax: 864-455-3095
Lesley B Pickell, MD Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 890 W Faris Rd Ste 470, Greenville, SC 29605 Phone: 864-455-1600 Fax: 864-455-3095
Dr. Thomas William Campbell, M.D. Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 1142 Grove Rd, Greenville, SC 29605 Phone: 864-232-1584 Fax: 864-232-1352
John F Van Deman Iii, M.D. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 101 Halton Village Cir, Greenville, SC 29607 Phone: 864-455-1600
Erinn R Morgan, MD Obstetrics & Gynecology Medicare: Medicare Enrolled Practice Location: 701 Grove Rd, Greenville, SC 29605 Phone: 864-455-7887

Trace Christopher Deighan, MD - Medicare Obstetrics & Gynecology in Greenville, SC