Jeffrey Andrew Kingsley, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is
1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 716-2011.
Jeffrey Andrew Kingsley is licensed to practice in North Carolina (license number 2022-01893) 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 1982264453.
Physician's Profile
| Full Name | Jeffrey Andrew Kingsley |
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| Gender | Male |
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| Speciality | Student In An Organized Health Care Education/training Program |
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| Location | 1 Medical Center Blvd, Winston Salem, North Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1982264453
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 02/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668806118
- Enrollment ID: I20220915003879
Medical Identifiers
Medical identifiers for Jeffrey Andrew Kingsley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982264453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207R00000X | Internal Medicine | 2022-01893 (North Carolina) | Secondary |
| 208M00000X | Hospitalist | 2022-01893 (North Carolina) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | OT019283 (Pennsylvania) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | 2022-01893 (North 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. Jeffrey Andrew Kingsley allows following entities to bill medicare on his behalf.
| Entity Name | Novant Health Medical Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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| Entity Name | Cogent Healthcare Of North Carolina Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057 |
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| Entity Name | Sound Physicians Of North Carolina Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1346661493 PECOS PAC ID: 7618108515 Enrollment ID: O20140318000319 |
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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. Jeffrey Andrew Kingsley 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 |
Jeffrey Andrew Kingsley, DO 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 | Jeffrey Andrew Kingsley, DO 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 |
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