Prince Ejindu, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Greenwood, South Carolina. His current practice location is 
105 Vinecrest Ct # 300, Greenwood, South Carolina. You can reach out to his office (for appointments etc.) via phone at 
(864) 223-6625.
Prince Ejindu is licensed to practice in South Carolina (license number 90543) 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 1215558812.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Prince Ejindu | 
|---|
| Gender | Male | 
|---|
| Speciality | Preventive Medicine - Occupational Medicine | 
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| Location | 105 Vinecrest Ct # 300, Greenwood, 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: 1215558812
- Provider Enumeration Date: 05/05/2020
- Last Update Date: 06/27/2024
  Medicare PECOS Information:
- PECOS PAC ID: 1850701236
- Enrollment ID: I20230804001693
 
		 
		 
Medical Identifiers
		Medical identifiers for Prince Ejindu such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1215558812 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 2083X0100X | Preventive Medicine - Occupational Medicine | 90543 (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. Prince Ejindu allows following entities to bill medicare on his behalf.
| Entity Name | Medcare Express - North Charleston Llc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1457579617 PECOS PAC ID: 7618074899
 Enrollment ID: O20070523000200
 | 
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| Entity Name | Self Medical Group | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1982836847 PECOS PAC ID: 6002953916
 Enrollment ID: O20091027000071
 | 
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| Entity Name | Anmed Urgent Care Llc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1467289637 PECOS PAC ID: 1759819261
 Enrollment ID: O20250113000433
 | 
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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. Prince Ejindu 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 | 
|---|
		| Prince Ejindu, MD 460 King St Ste 200,
 Charleston, SC 29403-6229
 Ph: (615) 719-4514
 | Prince Ejindu, MD 105 Vinecrest Ct # 300,
 Greenwood, SC 29646-8031
 Ph: (864) 223-6625
 | 
		
		 
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