Kellie L Boeggeman, ARNP in Irmo, SC - Medicare Nurse Practitioner

Kellie L Boeggeman, ARNP is a medicare enrolled "Nurse Practitioner" in Irmo, South Carolina. She graduated from nursing school in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Carolina Cardiology And Vascular Associates Llc and her current practice location is 1 Wellness Blvd Ste 106, Irmo, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 888-2282.

Kellie L Boeggeman is licensed to practice in South Carolina (license number APN355) 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 1669662086.

Contact Information

	Kellie L Boeggeman, ARNP
	1 Wellness Blvd Ste 106, Irmo, SC 29063-2872
	(803) 888-2282
	(803) 888-2299

Map and Direction

Provider's Profile

Full Name	Kellie L Boeggeman
Gender	Female
Speciality	Nurse Practitioner
Experience	17 Years
Location	1 Wellness Blvd Ste 106, Irmo, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kellie L Boeggeman graduated from nursing school in 2007

NPI Data:

NPI Number: 1669662086
Provider Enumeration Date: 08/01/2007
Last Update Date: 02/23/2021

Medicare PECOS Information:

PECOS PAC ID: 1254419146
Enrollment ID: I20081120000854

Medical Identifiers

Medical identifiers for Kellie L Boeggeman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669662086	NPI	-	NPPES
7006413	Medicaid	NC
NP1310	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	248427 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	9165739 (Florida)	Secondary
363L00000X	Nurse Practitioner	APN355 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Health Richland Hospital	Columbia, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Carolina Cardiology And Vascular Associates Llc	3375899131	4

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. Kellie L Boeggeman allows following entities to bill medicare on her behalf.

Entity Name	Carolina Cardiology And Vascular Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912400300 PECOS PAC ID: 3375899131 Enrollment ID: O20180709002680

Entity Name	Musc Community Physicians
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841878006 PECOS PAC ID: 6507260668 Enrollment ID: O20210811002388

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. Kellie L Boeggeman 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
Kellie L Boeggeman, ARNP 1 Wellness Blvd, Ste 106, Irmo, SC 29063-2872 Ph: (803) 888-2282	Kellie L Boeggeman, ARNP 1 Wellness Blvd Ste 106, Irmo, SC 29063-2872 Ph: (803) 888-2282

Reviews and Comments

Nurse Practitioner Nurses in Irmo, SC

Amanda Dudley, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 109, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Alicia Pendergrass, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Wellness Blvd Ste 203, Irmo, SC 29063 Phone: 803-749-9920 Fax: 803-749-9916
Erin Faulkenberry Siciliano, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Ms. Louise C. Holmes, MN,RN, CANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 7430 College St, Irmo, SC 29063 Phone: 803-732-4001 Fax: 803-732-2123
Mrs. Stefanie Lee Gunn, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Mrs. Rachel Strange, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7182 Woodrow St Ste 200, Irmo, SC 29063 Phone: 803-749-1111 Fax: 803-749-0050
Janeen Jensen Wood, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1008 Lake Murray Blvd, Irmo, SC 29063 Phone: 803-749-3840

Kellie L Boeggeman, ARNP - Medicare Nurse Practitioner in Irmo, SC