Krystal Ann Pendergraft, in Goldsboro, NC - Medicare Nurse Practitioner

Krystal Ann Pendergraft, is a medicare enrolled "Nurse Practitioner - Family" in Goldsboro, North Carolina. Her current practice location is 2280 Us Highway 70 W, Goldsboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (919) 735-1400.

Krystal Ann Pendergraft is licensed to practice in North Carolina (license number 5010245) 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 1639678204.

Contact Information

	Krystal Ann Pendergraft,
	2280 Us Highway 70 W, Goldsboro, NC 27530-9546
	(919) 735-1400
	(919) 581-0353

Map and Direction

Provider's Profile

Full Name	Krystal Ann Pendergraft
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2280 Us Highway 70 W, Goldsboro, 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: 1639678204
Provider Enumeration Date: 02/08/2018
Last Update Date: 02/08/2018

Medicare PECOS Information:

PECOS PAC ID: 7911260732
Enrollment ID: I20180409002354

Medical Identifiers

Medical identifiers for Krystal Ann Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1639678204	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	5010245 (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. Krystal Ann Pendergraft allows following entities to bill medicare on her behalf.

Entity Name	Goldsboro Emergency Medical Specialists Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1164418232 PECOS PAC ID: 5294633293 Enrollment ID: O20031229000879

Entity Name	Chris A. Pate Md Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851341937 PECOS PAC ID: 1153224639 Enrollment ID: O20040130001026

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. Krystal Ann Pendergraft 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
Krystal Ann Pendergraft, 2280 Us Highway 70 W, Goldsboro, NC 27530-9546 Ph: (919) 735-1400	Krystal Ann Pendergraft, 2280 Us Highway 70 W, Goldsboro, NC 27530-9546 Ph: (919) 735-1400

Reviews and Comments

Nurse Practitioner Nurses in Goldsboro, NC

Alyson Hardison, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-1110
Summer Graham Carr, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-731-1110
Jentry Ellon Naylor, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2809 Mclamb Pl, Goldsboro, NC 27534 Phone: 919-580-9840 Fax: 919-580-9838
Mrs. Katie Michelle Anthony, ARNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736
Mrs. Lauren Lancaster, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2609 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-1779
Mrs. Jennifer Potter, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2700 Wayne Memorial Dr, Goldsboro, NC 27534 Phone: 919-736-1110
Ronnie Elaine Edmundson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2706 Medical Office Pl, Goldsboro, NC 27534 Phone: 919-734-4736 Fax: 919-580-1017

Krystal Ann Pendergraft, - Medicare Nurse Practitioner in Goldsboro, NC