Krystal Gladson Kennedy, FNP-BC in Greenville, NC

Krystal Gladson Kennedy, FNP-BC is a medicare enrolled "Nurse Practitioner" in Greenville, North Carolina. Her current practice location is 1150 E Arlington Blvd, Greenville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (252) 756-1333.

Krystal Gladson Kennedy is licensed to practice in North Carolina (license number 5013666) 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 1598363681.

Contact Information

	Krystal Gladson Kennedy, FNP-BC
	1150 E Arlington Blvd, Greenville, NC 27858-5866
	(252) 756-1333
	(252) 355-2068

Map and Direction

Provider's Profile

Full Name	Krystal Gladson Kennedy
Gender	Female
Speciality	Nurse Practitioner
Location	1150 E Arlington Blvd, Greenville, 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: 1598363681
Provider Enumeration Date: 10/12/2020
Last Update Date: 12/21/2023

Medicare PECOS Information:

PECOS PAC ID: 2860894722
Enrollment ID: I20210714002934

Medical Identifiers

Medical identifiers for Krystal Gladson Kennedy such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598363681	NPI	-	NPPES
1598363681	Medicaid	NC
NNG706B	Other	NC	MEDICARE PTAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5013666 (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 Gladson Kennedy allows following entities to bill medicare on her behalf.

Entity Name	Allergy Partners Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205826559 PECOS PAC ID: 7113822420 Enrollment ID: O20040628000753

Entity Name	Greenville Family Doctors, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629129119 PECOS PAC ID: 2365348927 Enrollment ID: O20071026000589

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 Gladson Kennedy 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 Gladson Kennedy, FNP-BC Po Box 603725, Charlotte, NC 28260-3725 Ph: (828) 575-2663	Krystal Gladson Kennedy, FNP-BC 1150 E Arlington Blvd, Greenville, NC 27858-5866 Ph: (252) 756-1333

Reviews and Comments

Nurse Practitioner Nurses in Greenville, NC

Staci G. Streeter-moye, ANP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 511 Paladin Dr, Greenville, NC 27834 Phone: 252-752-8880 Fax: 252-752-3084
Jacqueline R Costello, DNP, RN, CPNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2150 Herbert Ct, Greenville, NC 27834 Phone: 252-744-5437 Fax: 252-744-1514
Walter Roger Nelson, F.N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-752-4848 Fax: 252-752-9607
Ms. Marcy Sue Speight, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 622 S Memorial Dr, Greenville, NC 27858 Phone: 570-371-8303
Ann R Chambers, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2100 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-6958
Felicia R. Richardson, ANP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2280 Hemby Ln, Greenville, NC 27834 Phone: 252-744-9400 Fax: 252-744-9401
Mrs. Elizabeth Hayes Santiago, NNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2102 Stantonsburg Rd, Greenville, NC 27834 Phone: 252-847-4378

Krystal Gladson Kennedy, FNP-BC - Medicare Nurse Practitioner in Greenville, NC