Kimberly S Crawford, APRN - Medicare Nurse Practitioner in West Columbia, SC

Kimberly S Crawford, APRN is a medicare enrolled "Nurse Practitioner - Family" in West Columbia, South Carolina. Her current practice location is 1053 Center Street, Credentialing Department, West Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (800) 491-0909.

Kimberly S Crawford is licensed to practice in South Carolina (license number 22486) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1912477902.

Contact Information

Kimberly S Crawford, APRN
1053 Center Street, Credentialing Department,
West Columbia, SC 29169
(800) 491-0909
Not Available



Provider's Profile

Full NameKimberly S Crawford
GenderFemale
SpecialityNurse Practitioner - Family
Location1053 Center Street, West Columbia, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1912477902
  • Provider Enumeration Date: 12/03/2018
  • Last Update Date: 03/12/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 7113268483
  • Enrollment ID: I20190415001337

Medical Identifiers

Medical identifiers for Kimberly S Crawford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1912477902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 226098 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 22486 (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. Kimberly S Crawford allows following entities to bill medicare on her behalf.
Entity NameSc House Calls Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518048859
PECOS PAC ID: 6800994807
Enrollment ID: O20070613000821

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Entity NameMinuteclinic Diagnostic South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447420815
PECOS PAC ID: 8527126861
Enrollment ID: O20081015000409

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Entity NameProvidence House Calls Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689912495
PECOS PAC ID: 1759528250
Enrollment ID: O20130430000366

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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. Kimberly S Crawford 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
Kimberly S Crawford, APRN
1053 Center Street, Credentialing Department,
West Columbia, SC 29169

Ph: (800) 491-0909
Kimberly S Crawford, APRN
1053 Center Street, Credentialing Department,
West Columbia, SC 29169

Ph: (800) 491-0909

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Nurse Practitioner Nurses in West Columbia, SC

June Taylor Clark, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: Sc House Calls Inc, 1053 Center Street, West Columbia, SC 29169
Phone: 800-491-0909    
Sommer Lane Kitchin, APRN
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 1053 Center St, West Columbia, SC 29169
Phone: 800-491-0909    
Tisheila Diane Whitted, APRN, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169
Phone: 803-791-2480    Fax: 803-936-4102
Teresa Biediger Bowers, RN NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2728 Sunset Blvd, Suite 402, West Columbia, SC 29169
Phone: 803-794-7511    Fax: 803-794-7751
Heather Shaw, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2858 Sunset Blvd, West Columbia, SC 29169
Phone: 803-699-9073    Fax: 866-527-0937
Amy S Shenkar, ACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2720 Sunset Blvd, West Columbia, SC 29169
Phone: 803-791-2480    Fax: 803-936-4102
Dr. Elizabeth M Mcmicken, DNP, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 131 Sunset Ct, West Columbia, SC 29169
Phone: 803-796-2222    Fax: 803-796-7839

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