Kristin Braveboy Haddock, APRN - Medicare Nurse Practitioner in Aiken, SC

Kristin Braveboy Haddock, APRN is a medicare enrolled "Nurse Practitioner - Family" in Aiken, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Aiken Professional Association Llc and her current practice location is 420 Society Hill Dr Ste 100, Aiken, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 648-7774.

Kristin Braveboy Haddock is licensed to practice in South Carolina (license number 2601) 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 1053384073.

Contact Information

Kristin Braveboy Haddock, APRN
420 Society Hill Dr Ste 100,
Aiken, SC 29803-1731
(803) 648-7774
(803) 648-7490



Provider's Profile

Full NameKristin Braveboy Haddock
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location420 Society Hill Dr Ste 100, Aiken, 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:
  • Kristin Braveboy Haddock attended and graduated from University Of South Carolina School Of Medicine in 2004
  NPI Data:
  • NPI Number: 1053384073
  • Provider Enumeration Date: 02/09/2006
  • Last Update Date: 03/07/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 4981645058
  • Enrollment ID: I20050518001191

Medical Identifiers

Medical identifiers for Kristin Braveboy Haddock such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053384073NPI-NPPES
NP0888MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 2601 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeNewberry, SCHome health agency
Aiken Regional Medical CenterAiken, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Aiken Professional Association Llc044643080546

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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. Kristin Braveboy Haddock allows following entities to bill medicare on her behalf.
Entity NameAiken Professional Association Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639479801
PECOS PAC ID: 0446430805
Enrollment ID: O20110202000685

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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. Kristin Braveboy Haddock 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
Kristin Braveboy Haddock, APRN
367 S. Gulph Rd, Att: Ipm Credentialing,
King Of Prussia, PA 19406-3121

Ph: (803) 648-7774
Kristin Braveboy Haddock, APRN
420 Society Hill Dr Ste 100,
Aiken, SC 29803-1731

Ph: (803) 648-7774

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Nurse Practitioner Nurses in Aiken, SC

Lindsay K Pizzuto, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801
Phone: 803-644-4403    Fax: 803-644-4405
Catherine Rutherfurd Rudnick, MSN, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 222 Beaufort St Ne, Aiken, SC 29801
Phone: 803-502-4685    
Sarah Brennan Heilig, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1029 York St Ne, Aiken, SC 29801
Phone: 803-648-4119    
Amaya Edge, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2062 Whiskey Rd, Aiken, SC 29803
Phone: 980-205-5134    
Mrs. Ashley Protzman, NP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 850 Aiken Mall Dr, Aiken, SC 29803
Phone: 803-648-1464    
Ms. Tracy Stichert, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 415 Barnwell Ave Nw, Aiken, SC 29801
Phone: 803-641-4403    Fax: 803-644-4405

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