Jordan Callais, is a
Student In An Organized Health Care Education/training Program based in Prosperity, South Carolina. Jordan Callais is licensed to practice in * (Not Available) (license number ) and his current practice location is
149 Ralph Williams Rd, Prosperity, South Carolina. He can be reached at his office (for appointments etc.) via phone at
(803) 800-8124.
NPI number for Jordan Callais is 1558125179 and his current mailing address is 149 Ralph Williams Rd, Prosperity, South Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1558125179.
Provider's Profile
Full Name | Jordan Callais |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 149 Ralph Williams Rd, Prosperity, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1558125179
- Provider Enumeration Date: 02/13/2024
- Last Update Date: 02/13/2024
Medical Identifiers
Medical identifiers for Jordan Callais such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558125179 | 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 Callais 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 Callais, 149 Ralph Williams Rd, Prosperity, SC 29127-9015 Ph: (803) 800-8124 | Jordan Callais, 149 Ralph Williams Rd, Prosperity, SC 29127-9015 Ph: (803) 800-8124 |
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