Prince Ejindu, MD is a medicare enrolled "Preventive Medicine - Occupational Medicine" physician in Greenwood, South Carolina. He graduated from medical school in 2004 and has 22 years of diverse experience with area of expertise as Preventive Medicine. He is a member of the group practice Medcare Express - North Charleston Llc and 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
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 1215558812.
Physician's Profile
| Full Name | Prince Ejindu |
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| Gender | Male |
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| Speciality | Preventive Medicine |
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| Experience | 22 Years |
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| Location | 105 Vinecrest Ct # 300, Greenwood, 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:
- Prince Ejindu graduated from medical school in 2004
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 |
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| 1215558812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2083X0100X | Preventive Medicine - Occupational Medicine | 90543 (South Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Medcare Express - North Charleston Llc | 7618074899 | 66 |
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 |
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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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