Krystal Peterson, - Medicare Nurse Practitioner in Effingham, SC

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Krystal Peterson, is a medicare enrolled "Nurse Practitioner - Family" in Effingham, South Carolina. Her current practice location is 1217 Turtle Dove Dr, Effingham, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 472-8322.

Krystal Peterson is licensed to practice in South Carolina (license number 28462) 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 1902662174.

Contact Information

Krystal Peterson,
1217 Turtle Dove Dr,
Effingham, SC 29541-4721
(843) 472-8322
Not Available

Map and Direction




Provider's Profile

Full NameKrystal Peterson
GenderFemale
SpecialityNurse Practitioner - Family
Location1217 Turtle Dove Dr, Effingham, South Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1902662174
  • Provider Enumeration Date: 02/26/2024
  • Last Update Date: 04/23/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 7416478110
  • Enrollment ID: I20250311001379

Medical Identifiers

Medical identifiers for Krystal Peterson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902662174NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 28462 (South 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 Peterson allows following entities to bill medicare on her behalf.
Entity NameLongevity Clinical Ltc Associates Of South Carolina Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184317984
PECOS PAC ID: 6800241001
Enrollment ID: O20231009000147

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 Peterson 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 AddressPractice Location Address
Krystal Peterson,
1217 Turtle Dove Dr,
Effingham, SC 29541-4721

Ph: (843) 472-8322		Krystal Peterson,
1217 Turtle Dove Dr,
Effingham, SC 29541-4721

Ph: (843) 472-8322

Reviews and Comments


Nurse Practitioner Nurses in Effingham, SC

Heaven Lashawn Cooper, PMHNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3012 Starling Dr, Effingham, SC 29541
Phone: 470-717-9065    
Fredrica Goodson Bull, FNP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3018 Wild Turkey Dr, Effingham, SC 29541
Phone: 843-616-4601    
Dawnna Monique Scipio, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1237 Barn Owl Rd, Effingham, SC 29541
Phone: 843-610-0135    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.