Kelley Campbell Waite, FNP in Dobson, NC - Medicare Nurse Practitioner

Kelley Campbell Waite, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dobson, North Carolina. Her current practice location is 105 N Crutchfield St # 2, Dobson, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 789-2922.

Kelley Campbell Waite is licensed to practice in North Carolina (license number 5004403) 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 1376732560.

Contact Information

	Kelley Campbell Waite, FNP
	105 N Crutchfield St # 2, Dobson, NC 27017-8804
	(336) 789-2922
	(336) 789-0856

Map and Direction

Provider's Profile

Full Name	Kelley Campbell Waite
Gender	Female
Speciality	Nurse Practitioner - Family
Location	105 N Crutchfield St # 2, Dobson, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376732560
Provider Enumeration Date: 10/24/2007
Last Update Date: 02/06/2024

Medicare PECOS Information:

PECOS PAC ID: 6800071515
Enrollment ID: I20110422000282

Medical Identifiers

Medical identifiers for Kelley Campbell Waite such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376732560	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	0024184761 (Virginia)	Secondary
363L00000X	Nurse Practitioner	5004403 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	0024184761 (Virginia)	Secondary
363LF0000X	Nurse Practitioner - Family	5004403 (North 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. Kelley Campbell Waite allows following entities to bill medicare on her behalf.

Entity Name	Hospice Of Surry County Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1578854147 PECOS PAC ID: 2961448741 Enrollment ID: O20080929000387

Entity Name	Nh-cl Clinics Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487276499 PECOS PAC ID: 6305262692 Enrollment ID: O20200818000206

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. Kelley Campbell Waite 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
Kelley Campbell Waite, FNP Po Box 325, Dobson, NC 27017-0325 Ph: (336) 789-2922	Kelley Campbell Waite, FNP 105 N Crutchfield St # 2, Dobson, NC 27017-8804 Ph: (336) 789-2922

Reviews and Comments

Nurse Practitioner Nurses in Dobson, NC

Mrs. Wendy Dianne Smith, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 Hamby Rd, Dobson, NC 27017 Phone: 336-401-8503
Victoria Mullins Hunt, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 N Crutchfield St # 2, Dobson, NC 27017 Phone: 336-789-2922 Fax: 336-789-0856
Hannah Merritt Creed, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 105 N Crutchfield St # 2, Dobson, NC 27017 Phone: 888-789-2922 Fax: 336-789-0856
Caroline Yates Harbour, MSN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 118 Hamby Rd, Dobson, NC 27017 Phone: 336-401-8400
Ronda Benge Blevins, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 105 N Crutchfield St # 2, Dobson, NC 27017 Phone: 336-789-2922 Fax: 336-789-0856
Mrs. Michele Watson Riekehof, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 118 Hamby Rd, Dobson, NC 27017 Phone: 336-401-8400

Kelley Campbell Waite, FNP - Medicare Nurse Practitioner in Dobson, NC