Kaymie Poldo, APRN - Medicare Nurse Practitioner in Rock Hill, SC

  1. Home
Kaymie Poldo, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" physician in Rock Hill, South Carolina. Her current practice location is 370 Herlong Ave S Ste 200, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 980-5864.

Kaymie Poldo is licensed to practice in Florida (license number APRN11001730) 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 1053879270.

Contact Information

Kaymie Poldo, APRN
370 Herlong Ave S Ste 200,
Rock Hill, SC 29732-1160
(803) 980-5864
(803) 980-5817

Map and Direction




Physician's Profile

Full NameKaymie Poldo
GenderFemale
SpecialityNurse Practitioner - Adult Health
Location370 Herlong Ave S Ste 200, Rock Hill, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053879270
  • Provider Enumeration Date: 03/06/2019
  • Last Update Date: 08/27/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1557693892
  • Enrollment ID: I20191106000108

Medical Identifiers

Medical identifiers for Kaymie Poldo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053879270NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 11001730 (Florida)Secondary
363LA2200XNurse Practitioner - Adult Health APRN11001730 (Florida)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. Kaymie Poldo allows following entities to bill medicare on her behalf.
Entity NamePalm Beach Internal Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063695708
PECOS PAC ID: 0547217234
Enrollment ID: O20050405000717

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. Kaymie Poldo 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
Kaymie Poldo, APRN
2565 Prosperity Oaks Ct,
Palm Beach Gardens, FL 33410-4424

Ph: (772) 485-4118		Kaymie Poldo, APRN
370 Herlong Ave S Ste 200,
Rock Hill, SC 29732-1160

Ph: (803) 980-5864

Reviews and Comments



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.