Miranda Kerley, MSN, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Summerton, South Carolina. Her current practice location is
1056 Felton St, Summerton, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 819-4021.
Miranda Kerley is licensed to practice in South Carolina (license number 25256) 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 1912671843.
Provider's Profile
| Full Name | Miranda Kerley |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1056 Felton St, Summerton, South Carolina |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1912671843
- Provider Enumeration Date: 08/04/2021
- Last Update Date: 08/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 6002200961
- Enrollment ID: I20220218002342
Medical Identifiers
Medical identifiers for Miranda Kerley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912671843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 25256 (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. Miranda Kerley allows following entities to bill medicare on her behalf.
| Entity Name | K & M Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1902577455
PECOS PAC ID: 4284028143
Enrollment ID: O20220218002114 |
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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. Miranda Kerley 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 |
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Miranda Kerley, MSN, APRN, FNP-C
2544 Princess Pond Rd,
Summerton, SC 29148-8446
Ph: (843) 609-2033 | Miranda Kerley, MSN, APRN, FNP-C
1056 Felton St,
Summerton, SC 29148-7169
Ph: (843) 819-4021 |
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