Kelley Brown Davis, - Medicare Nurse Practitioner in Elgin, SC

Kelley Brown Davis, is a medicare enrolled "Nurse Practitioner - Family" in Elgin, South Carolina. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Musc Community Physicians and her current practice location is 2689 Us-1, Elgin, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 438-7698.

Kelley Brown Davis is licensed to practice in South Carolina (license number 24307) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1669079901.

Contact Information

Kelley Brown Davis,
2689 Us-1,
Elgin, SC 29045
(803) 438-7698
Not Available



Provider's Profile

Full NameKelley Brown Davis
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location2689 Us-1, Elgin, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelley Brown Davis graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1669079901
  • Provider Enumeration Date: 10/08/2020
  • Last Update Date: 10/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 3678985033
  • Enrollment ID: I20201209002160

Medical Identifiers

Medical identifiers for Kelley Brown Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669079901NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 24307 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
KershawhealthCamden, SCHospital
Musc Medical CenterCharleston, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Musc Community Physicians6507260668698

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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. Kelley Brown Davis allows following entities to bill medicare on her behalf.
Entity NameProvidence Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285253336
PECOS PAC ID: 9638475627
Enrollment ID: O20160328001916

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Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

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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. Kelley Brown Davis 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
Kelley Brown Davis,
758 Pate Rd,
Camden, SC 29020-8382

Ph: () -
Kelley Brown Davis,
2689 Us-1,
Elgin, SC 29045

Ph: (803) 438-7698

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Nurse Practitioner Nurses in Elgin, SC

Ashley Wall Crawford, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 40 Pinnacle Pkwy, Elgin, SC 29045
Phone: 803-424-8022    
Eva Reynolds, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1004 Emanuel St, Elgin, SC 29045
Phone: 803-438-7698    Fax: 803-438-7563
Gloria Benoit Williams, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 889 Royal Oak Way, Elgin, SC 29045
Phone: 704-574-0664    
Morgan Mankins,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2689 Highway 1 S, Elgin, SC 29045
Phone: 803-438-7698    
Dr. Nikki Racquel Smith, DNP, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 40 Pinnacle Pkwy, Elgin, SC 29045
Phone: 803-424-8020    
Lida Hamidi,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 40 Pinnacle Pkwy, Elgin, SC 29045
Phone: 803-424-8020    

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