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

Kaymie Poldo, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in Rock Hill, South Carolina. She graduated from nursing school in 2019 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Pulmonary And Critical Care Llc and 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 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 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




Provider's Profile

Full NameKaymie Poldo
GenderFemale
SpecialityNurse Practitioner
Experience7 Years
Location370 Herlong Ave S Ste 200, Rock Hill, South Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kaymie Poldo graduated from nursing school in 2019
  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: I20251024003750

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
363LA2200XNurse Practitioner - Adult Health APRN11001730 (Florida)Primary
207R00000XInternal Medicine 11001730 (Florida)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Piedmont Medical CenterRock hill, SCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Southeast Pulmonary And Critical Care Llc07494405435

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 NameSoutheast Pulmonary and Critical Care LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275830507
PECOS PAC ID: 0749440543
Enrollment ID: O20130419000445

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


Nurse Practitioner Nurses in Rock Hill, SC

Treasure Marae Vaughn, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 502 Cherry Rd, Rock Hill, SC 29732
Phone: 839-213-6425    Fax: 843-405-2040
Mrs. Mary Jo Barreto, APRN-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: Winthrop University Health Services, Rock Hill, SC 29733
Phone: 803-323-2206    Fax: 803-323-3332
Tara Brown Garrick, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: May Accept Medicare Assignments
Practice Location: 2275 India Hook Rd, Rock Hill, SC 29732
Phone: 803-329-1500    Fax: 803-329-1695
Kenyate Benson Bradley, AGNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2450 India Hook Rd, Rock Hill, SC 29732
Phone: 803-366-7443    
Ms. Wanda Kaye Clark, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1151 Camden Ave, Rock Hill, SC 29732
Phone: 803-909-6363    Fax: 803-909-6364
Marta Pacheco,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1617 Shetland Ln, Rock Hill, SC 29730
Phone: 540-797-4361    
Andrea Blakeman, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1131 Saluda St, Rock Hill, SC 29730
Phone: 803-325-7744    Fax: 803-325-1117

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.