Dr Kimberly D Rakes-stephens, MD is a medicare enrolled "Internal Medicine" physician in Edisto Island, South Carolina. She went to East Tennessee State University Quillen College Of Medicine and graduated in 1990 and has 35 years of diverse experience with area of expertise as Internal Medicine. She is a member of the group practice Liberty Doctors Llc and her current practice location is
134 Jungle Rd, Edisto Island, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 897-7757.
Dr Kimberly D Rakes-stephens is licensed to practice in South Carolina (license number 17943) 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 1457354888.
Physician's Profile
| Full Name | Dr Kimberly D Rakes-stephens |
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| Gender | Female |
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| Speciality | Internal Medicine |
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| Experience | 35 Years |
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| Location | 134 Jungle Rd, Edisto Island, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimberly D Rakes-stephens attended and graduated from East Tennessee State University Quillen College Of Medicine in 1990
NPI Data:
- NPI Number: 1457354888
- Provider Enumeration Date: 05/31/2005
- Last Update Date: 12/05/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557356268
- Enrollment ID: I20040420000675
Medical Identifiers
Medical identifiers for Dr Kimberly D Rakes-stephens such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1457354888 | NPI | - | NPPES |
| 226954 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208M00000X | Hospitalist | 17943 (South Carolina) | Secondary |
| 207R00000X | Internal Medicine | 17943 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Liberty Doctors Llc | 0840466017 | 41 |
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 Kimberly D Rakes-stephens allows following entities to bill medicare on her behalf.
| Entity Name | South Carolina Dept Of Mental Health Accounting Office |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902476443
PECOS PAC ID: 9032021175
Enrollment ID: O20071217000080 |
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| Entity Name | Liberty Doctors Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700162203
PECOS PAC ID: 0840466017
Enrollment ID: O20120110000683 |
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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. Dr Kimberly D Rakes-stephens 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 Address | Practice Location Address |
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Dr Kimberly D Rakes-stephens, MD
134 Jungle Rd,
Edisto Island, SC 29438-3005
Ph: (843) 217-1695 | Dr Kimberly D Rakes-stephens, MD
134 Jungle Rd,
Edisto Island, SC 29438-3005
Ph: (843) 897-7757 |
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