Kaitlyn Maureen Boggs, is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Charleston, South Carolina. Her current practice location is 
169 Ashley Ave Rm 202, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at 
(843) 792-2000.
Kaitlyn Maureen Boggs is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1538665997.
			
			
			
			
			
		 
		
		 
Physician's Profile
		
			
			
			| Full Name | Kaitlyn Maureen Boggs | 
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| Gender | Female | 
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| Speciality | Student In An Organized Health Care Education/training Program | 
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| Location | 169 Ashley Ave Rm 202, Charleston, South 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: 1538665997
- Provider Enumeration Date: 04/04/2018
- Last Update Date: 04/07/2025
  Medicare PECOS Information:
- PECOS PAC ID: 7911397666
- Enrollment ID: I20240313001076
 
		 
		 
Medical Identifiers
		Medical identifiers for Kaitlyn Maureen Boggs such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
|---|
		| 1538665997 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
|---|
		| 208000000X | Pediatrics | 89367 (South Carolina) | Secondary | 
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | 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. Kaitlyn Maureen Boggs allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Associates Of The Medical University Of South Carol | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1043241110 PECOS PAC ID: 6305758574
 Enrollment ID: O20031105000291
 | 
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| Entity Name | Acs Primary Care Physicians - Southeast Pc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1861430555 PECOS PAC ID: 5193620714
 Enrollment ID: O20090401000270
 | 
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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. Kaitlyn Maureen Boggs 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 | 
|---|
		| Kaitlyn Maureen Boggs, 169 Ashley Ave Rm 202,
 Charleston, SC 29425-8905
 Ph: () -
 | Kaitlyn Maureen Boggs, 169 Ashley Ave Rm 202,
 Charleston, SC 29425-2916
 Ph: (843) 792-2000
 | 
		
		 
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