Joanna Andracka Kudla, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Jacksonboro, South Carolina. Her current practice location is
2137 Hope Plantation Ln, Jacksonboro, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 513-9690.
Joanna Andracka Kudla is licensed to practice in South Carolina (license number 27053) 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 1982392692.
Provider's Profile
| Full Name | Joanna Andracka Kudla |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 2137 Hope Plantation Ln, Jacksonboro, 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: 1982392692
- Provider Enumeration Date: 05/01/2023
- Last Update Date: 03/04/2026
Medicare PECOS Information:
- PECOS PAC ID: 2567825383
- Enrollment ID: I20230828001054
Medical Identifiers
Medical identifiers for Joanna Andracka Kudla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1982392692 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | 27053 (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. Joanna Andracka Kudla allows following entities to bill medicare on her behalf.
| Entity Name | Palmetto Primary Care Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
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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. Joanna Andracka Kudla 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 |
Joanna Andracka Kudla, FNP-BC 2137 Hope Plantation Ln, Jacksonboro, SC 29452 Ph: (843) 513-9690 | Joanna Andracka Kudla, FNP-BC 2137 Hope Plantation Ln, Jacksonboro, SC 29452 Ph: (843) 513-9690 |
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