Jeffrey Craig Gourdine, DMD in Walterboro, SC

Jeffrey Craig Gourdine, DMD is a medicare enrolled "Dentist - General Practice" provider in Walterboro, South Carolina. His current practice location is 1422 Bells Hwy, Walterboro, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 538-7330.

Jeffrey Craig Gourdine is licensed to practice in South Carolina (license number 4022) 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 1720045776.

Contact Information

	Jeffrey Craig Gourdine, DMD
	1422 Bells Hwy, Walterboro, SC 29488-2516
	(843) 538-7330
	(843) 538-7336

Map and Direction

Healthcare Provider's Profile

Full Name	Jeffrey Craig Gourdine
Gender	Male
Speciality	Dentist - General Practice
Location	1422 Bells Hwy, Walterboro, 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: 1720045776
Provider Enumeration Date: 04/26/2006
Last Update Date: 09/13/2017

Medicare PECOS Information:

PECOS PAC ID: 6608158241
Enrollment ID: I20170117000630

Medical Identifiers

Medical identifiers for Jeffrey Craig Gourdine such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720045776	NPI	-	NPPES
ZX4022	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1223G0001X	Dentist - General Practice	4022 (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. Jeffrey Craig Gourdine allows following entities to bill medicare on his behalf.

Entity Name	Beaufort Jasper Hampton Comprehensive Health Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1649276148 PECOS PAC ID: 5597675728 Enrollment ID: O20160427001262

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. Jeffrey Craig Gourdine 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
Jeffrey Craig Gourdine, DMD Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111	Jeffrey Craig Gourdine, DMD 1422 Bells Hwy, Walterboro, SC 29488-2516 Ph: (843) 538-7330

Reviews and Comments

Dentist in Walterboro, SC

Dr. Amy Zelko, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 2126 Bells Hwy, Walterboro, SC 29488 Phone: 262-565-8298
Dr. Joshua Benjamin Massey, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 415 Robertson Blvd Ste A, Walterboro, SC 29488 Phone: 843-549-2121
Dr. Shannon Morris Pye, DMD Dentist Medicare: Medicare Enrolled Practice Location: 664 Hiers Corner Rd, Walterboro, SC 29488 Phone: 843-549-5913 Fax: 843-549-5193
Harold Maurice Rhodes Iii, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 1422 Bells Hwy, Walterboro, SC 29488 Phone: 843-538-7330 Fax: 843-538-7336
Dr. Samuel Michael Hazel, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 415a Robertson Blvd, One Professional Plaza, Walterboro, SC 29488 Phone: 843-549-2121 Fax: 843-549-7705
Lauren Forster Callison, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 1133 N Jefferies Blvd, Walterboro, SC 29488 Phone: 843-549-5584
Mr. Allen Nathaniel Gustin, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 113 Magnolia Street, Walterboro, SC 29488 Phone: 843-549-1215

Jeffrey Craig Gourdine, DMD - Medicare Dentist in Walterboro, SC