Keith Tisheem King, FNP-C - Medicare Nurse Practitioner in North Charleston, SC

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Keith Tisheem King, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in North Charleston, South Carolina. He graduated from nursing school in 2020 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Lexington Health Inc and his current practice location is 5070 International Blvd Ste 131, North Charleston, South Carolina. You can reach out to his office (for appointments etc.) via phone at (843) 402-5053.

Keith Tisheem King is licensed to practice in South Carolina (license number 25025) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1518533058.

Contact Information

Keith Tisheem King, FNP-C
5070 International Blvd Ste 131,
North Charleston, SC 29418-6007
(843) 402-5053
(843) 724-1325

Map and Direction




Provider's Profile

Full NameKeith Tisheem King
GenderMale
SpecialityNurse Practitioner
Experience5 Years
Location5070 International Blvd Ste 131, North Charleston, South Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Keith Tisheem King graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1518533058
  • Provider Enumeration Date: 06/03/2021
  • Last Update Date: 10/03/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 4284031899
  • Enrollment ID: I20210924000791

Medical Identifiers

Medical identifiers for Keith Tisheem King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518533058NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 25025 (South Carolina)Secondary
363LF0000XNurse Practitioner - Family 25025 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Lexington Health Inc2567872070824

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. Keith Tisheem King allows following entities to bill medicare on his behalf.
Entity NameRoper Saint Francis Physicians Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124431606
PECOS PAC ID: 5193874824
Enrollment ID: O20090528000405
Entity NameLexington Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710634753
PECOS PAC ID: 2567872070
Enrollment ID: O20201208000922
Entity NameOld Mission Wound Care South Carolina Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699514067
PECOS PAC ID: 0648711556
Enrollment ID: O20240919000070

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. Keith Tisheem King 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
Keith Tisheem King, FNP-C
Po Box 751649,
Charlotte, NC 28275-1649

Ph: (888) 472-0043		Keith Tisheem King, FNP-C
5070 International Blvd Ste 131,
North Charleston, SC 29418-6007

Ph: (843) 402-5053

Reviews and Comments


Nurse Practitioner Nurses in North Charleston, SC

Mr. Richard Dale Brinson, MSN, APRN, NP-C
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Swati Patel,
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Mrs. Dodi Lynn Baum, NP-C
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Tina Withrow, FNP
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Hannah Dweikat,
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Phone: 843-856-3784    

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.