Mrs Kelley Hodge Bostic, FNP - Medicare Nurse Practitioner in Hartsville, SC

Mrs Kelley Hodge Bostic, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hartsville, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health University Medical Group and her current practice location is 701 Medical Park Dr Ste 301, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 383-5978.

Mrs Kelley Hodge Bostic is licensed to practice in South Carolina (license number 21427) 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 1396257325.

Contact Information

Mrs Kelley Hodge Bostic, FNP
701 Medical Park Dr Ste 301,
Hartsville, SC 29550-4779
(843) 383-5978
(843) 383-5977



Provider's Profile

Full NameMrs Kelley Hodge Bostic
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location701 Medical Park Dr Ste 301, Hartsville, 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:
  • Mrs Kelley Hodge Bostic attended and graduated from University Of South Carolina School Of Medicine in 2017
  NPI Data:
  • NPI Number: 1396257325
  • Provider Enumeration Date: 10/31/2017
  • Last Update Date: 03/02/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 5991064073
  • Enrollment ID: I20180117002958

Medical Identifiers

Medical identifiers for Mrs Kelley Hodge Bostic such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396257325NPI-NPPES
NP4882MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 21427 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 21427 (South Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Prisma Heath Tuomey HospitalSumter, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Prisma Health University Medical Group83259509832201

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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. Mrs Kelley Hodge Bostic allows following entities to bill medicare on her behalf.
Entity NamePrisma Health University Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238

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Entity NamePrisma Health Medical Group-midlands
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275988321
PECOS PAC ID: 5991099707
Enrollment ID: O20160802001226

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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. Mrs Kelley Hodge Bostic 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
Mrs Kelley Hodge Bostic, FNP
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842

Ph: (864) 522-8603
Mrs Kelley Hodge Bostic, FNP
701 Medical Park Dr Ste 301,
Hartsville, SC 29550-4779

Ph: (843) 383-5978

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Nurse Practitioner Nurses in Hartsville, SC

Mrs. Zita Acuna Andreski, APRN FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    Fax: 843-332-3985
Ms. Gyetri Mitchell, MSN, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550
Phone: 843-339-4600    
Mr. Robert Alexander Campbell Jr., FNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 701 Medical Park Dr Ste 207, Hartsville, SC 29550
Phone: 843-383-5191    Fax: 843-332-9229
Katelon Marie Smith, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    Fax: 843-339-5518
Staci Leigh Cassidy, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    Fax: 843-332-3985
Shelly Conner, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    
Aquilla Bec,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-0118    

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