Jeffrey Craig Gourdine, DMD is a medicare enrolled "Dentist - General Practice" provider in Seabrook, South Carolina. His current practice location is
211 Paige Point Rd, Seabrook, South Carolina. You can reach out to his office (for appointments etc.) via phone at
(843) 846-8148.
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.
Healthcare Provider's Profile
| Full Name | Jeffrey Craig Gourdine |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 211 Paige Point Rd, Seabrook, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720045776
- Provider Enumeration Date: 04/26/2006
- Last Update Date: 06/16/2026
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 |
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| 1720045776 | NPI | - | NPPES |
| ZX4022 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 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 |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649276148
PECOS PAC ID: 5597675728
Enrollment ID: O20160427001262 |
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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. 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 |
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Jeffrey Craig Gourdine, DMD
721 Okatie Hwy,
Okatie, SC 29909-3963
Ph: (843) 987-7400 | Jeffrey Craig Gourdine, DMD
211 Paige Point Rd,
Seabrook, SC 29940-2737
Ph: (843) 846-8148 |
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