Kimberly N Spivey, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Aynor, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2011 and has 13 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Mcleod Health Cheraw, Conway Hospital Community Services and her current practice location is
51 11th Ave, Aynor, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 358-3700.
Kimberly N Spivey is licensed to practice in South Carolina (license number 17728) 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 1013280031.
Provider's Profile
Full Name | Kimberly N Spivey |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 13 Years |
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Location | 51 11th Ave, Aynor, South Carolina |
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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:
- Kimberly N Spivey attended and graduated from University Of South Carolina School Of Medicine in 2011
NPI Data:
- NPI Number: 1013280031
- Provider Enumeration Date: 02/22/2012
- Last Update Date: 02/24/2023
Medicare PECOS Information:
- PECOS PAC ID: 6507028701
- Enrollment ID: I20120504000362
Medical Identifiers
Medical identifiers for Kimberly N Spivey such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1013280031 | NPI | - | NPPES |
NP2021 | Medicaid | SC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | 17728 APRN (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 17728 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Mcleod Health Cheraw | 7911228259 | 66 |
Conway Hospital Community Services | 9830087774 | 6 |
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. Kimberly N Spivey allows following entities to bill medicare on her behalf.
Entity Name | Conway Hospital Community Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689928103 PECOS PAC ID: 9830087774 Enrollment ID: O20040316000313 |
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Entity Name | Mcleod Health Cheraw |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275912974 PECOS PAC ID: 7911228259 Enrollment ID: O20151218002079 |
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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. Kimberly N Spivey 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 |
Kimberly N Spivey, FNP-BC 300 Singleton Ridge Rd, Attention Pns Credentialing, Conway, SC 29526-9142 Ph: (843) 234-6946 | Kimberly N Spivey, FNP-BC 51 11th Ave, Aynor, SC 29511-3249 Ph: (843) 358-3700 |
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