Dr Kory St John Jaggon, MBBS - Medicare Hospitalist in Salisbury, MD

Dr Kory St John Jaggon, MBBS is a medicare enrolled "Hospitalist" physician in Salisbury, Maryland. His current practice location is 100 E Carroll St, Salisbury, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 546-6400.

Dr Kory St John Jaggon is licensed to practice in Maryland (license number D0095532) 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 1558989822.

Contact Information

Dr Kory St John Jaggon, MBBS
100 E Carroll St,
Salisbury, MD 21801-5422
(410) 546-6400
Not Available



Physician's Profile

Full NameDr Kory St John Jaggon
GenderMale
SpecialityHospitalist
Location100 E Carroll St, Salisbury, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1558989822
  • Provider Enumeration Date: 07/13/2020
  • Last Update Date: 09/09/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0749643518
  • Enrollment ID: I20230825002829

Medical Identifiers

Medical identifiers for Dr Kory St John Jaggon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1558989822NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208M00000XHospitalist D0095532 (Maryland)Primary
390200000XStudent In An Organized Health Care Education/training Program (* (Not Available))Secondary

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. Dr Kory St John Jaggon allows following entities to bill medicare on his behalf.
Entity NameTidalhealth Specialty Care Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1619504735
PECOS PAC ID: 7113340845
Enrollment ID: O20200714000286

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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. Dr Kory St John Jaggon 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 AddressPractice Location Address
Dr Kory St John Jaggon, MBBS
100 E Carroll St,
Salisbury, MD 21801-5422

Ph: (410) 546-6400
Dr Kory St John Jaggon, MBBS
100 E Carroll St,
Salisbury, MD 21801-5422

Ph: (410) 546-6400

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Hospitalist Doctors in Salisbury, MD

Dr. Kazi S Khan, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1821 Sweetbay Dr, Ste 1, Salisbury, MD 21804
Phone: 410-546-4427    Fax: 410-546-2096
Nimmy Mathew,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 908-583-3551    
Dr. Sufyan Mustafa Malik, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 145 E Carroll St # 101102, Salisbury, MD 21801
Phone: 410-912-5785    
Qamar Iqbal, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 410-543-7722    
Rajat Dhand, MBBS
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 410-546-6400    
Sintayehu Kenea,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 410-543-7536    
Dr. John Varghese Kottarathil, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 100 E Carroll St, Salisbury, MD 21801
Phone: 410-546-6400    

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