Mr Jeremy Chad Stiles, NP-C is a medicare enrolled "Nurse Practitioner - Acute Care" provider in West Columbia, South Carolina. He graduated from healthcare school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lexington Health Inc and his current practice location is
2720 Sunset Blvd, West Columbia, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(803) 791-2000.
Mr Jeremy Chad Stiles is licensed to practice in South Carolina (license number 23553) 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 1669628608.
Healthcare Provider's Profile
| Full Name | Mr Jeremy Chad Stiles |
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| Gender | Male |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 2720 Sunset Blvd, West Columbia, South Carolina |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mr Jeremy Chad Stiles graduated from medical school in 2019
NPI Data:
- NPI Number: 1669628608
- Provider Enumeration Date: 08/11/2008
- Last Update Date: 11/11/2020
Medicare PECOS Information:
- PECOS PAC ID: 7618303504
- Enrollment ID: I20200213001030
Medical Identifiers
Medical identifiers for Mr Jeremy Chad Stiles such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1669628608 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | C.0500406-CR (Ohio) | Secondary |
| 101YP2500X | Counselor - Professional | C.0500406-CR (Ohio) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 23553 (South Carolina) | Secondary |
| 363LA2100X | Nurse Practitioner - Acute Care | 23553 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lexington Health Inc | 2567872070 | 753 |
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. Mr Jeremy Chad Stiles allows following entities to bill medicare on his behalf.
| Entity Name | Lowcountry Urgent Care Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326364100
PECOS PAC ID: 9739210337
Enrollment ID: O20100625000517 |
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| Entity Name | Lexington County Health Services District Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1194380600
PECOS PAC ID: 7618871799
Enrollment ID: O20191118002076 |
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| Entity Name | Lexington Health Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922 |
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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 Jeremy Chad Stiles 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 |
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Mr Jeremy Chad Stiles, NP-C
Po Box 6069,
West Columbia, SC 29171-6069
Ph: () - | Mr Jeremy Chad Stiles, NP-C
2720 Sunset Blvd,
West Columbia, SC 29169-4810
Ph: (803) 791-2000 |
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