Dr Kenneth Carl Staples Jr, DO - Medicare Emergency Medicine in Mullins, SC

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Dr Kenneth Carl Staples Jr, DO is a medicare enrolled "Emergency Medicine" physician in Mullins, South Carolina. His current practice location is 2829 E Highway 76, Mullins, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 431-2000.

Dr Kenneth Carl Staples Jr is licensed to practice in South Carolina (license number 82113) 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 1265824809.

Contact Information

Dr Kenneth Carl Staples Jr, DO
2829 E Highway 76,
Mullins, SC 29574-6035
(843) 431-2000
Not Available

Map and Direction




Physician's Profile

Full NameDr Kenneth Carl Staples Jr
GenderMale
SpecialityEmergency Medicine
Location2829 E Highway 76, Mullins, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1265824809
  • Provider Enumeration Date: 02/18/2015
  • Last Update Date: 01/26/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3971879370
  • Enrollment ID: I20191021000623

Medical Identifiers

Medical identifiers for Dr Kenneth Carl Staples Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265824809NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207P00000XEmergency Medicine 82113 (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. Dr Kenneth Carl Staples Jr allows following entities to bill medicare on his behalf.
Entity NameCarolina Family Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184655722
PECOS PAC ID: 4587557731
Enrollment ID: O20040203000627
Entity NameApp Of South Carolina Ed Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457878084
PECOS PAC ID: 3577821107
Enrollment ID: O20180103000650
Entity NameMusc Community Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841878006
PECOS PAC ID: 6507260668
Enrollment ID: O20210811002388

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 Kenneth Carl Staples Jr 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 Kenneth Carl Staples Jr, DO
Po Box 603898,
Charlotte, NC 28260-3898

Ph: (843) 792-6200		Dr Kenneth Carl Staples Jr, DO
2829 E Highway 76,
Mullins, SC 29574-6035

Ph: (843) 431-2000

Reviews and Comments


Emergency Medicine Doctors in Mullins, SC

Mark Carroll, MD
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2829 E Highway 76, Mullins, SC 29574
Phone: 843-497-5929    Fax: 843-497-9940
Dr. Christo C Courban, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2829 E Highway 76, Mullins, SC 29574
Phone: 843-431-2000    
Lynn Barr, M.D.
Emergency Medicine
Medicare: Medicare Enrolled
Practice Location: 2829 E Highway 76, Mullins, SC 29574
Phone: 843-497-5929    Fax: 843-497-9940
Stuart Alva Smith, M.D.
Emergency Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 2829 E Highway 76, Mullins, SC 29574
Phone: 843-497-5929    Fax: 843-497-9940

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.