Jordan Alexis Deeb, is a
Student In An Organized Health Care Education/training Program based in North Myrtle Beach, South Carolina. Jordan Alexis Deeb is licensed to practice in * (Not Available) (license number ) and her current practice location is
1701 Waterway Dr, North Myrtle Beach, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(843) 450-8725.
NPI number for Jordan Alexis Deeb is 1083477335 and her current mailing address is 1701 Waterway Dr, North Myrtle Beach, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1083477335.
Provider's Profile
| Full Name | Jordan Alexis Deeb |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1701 Waterway Dr, North Myrtle Beach, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1083477335
- Provider Enumeration Date: 01/31/2024
- Last Update Date: 01/31/2024
Medical Identifiers
Medical identifiers for Jordan Alexis Deeb such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083477335 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (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. Jordan Alexis Deeb is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jordan Alexis Deeb,
1701 Waterway Dr,
North Myrtle Beach, SC 29582-2592
Ph: (843) 450-8725 | Jordan Alexis Deeb,
1701 Waterway Dr,
North Myrtle Beach, SC 29582-2592
Ph: (843) 450-8725 |
Reviews and Comments