Mrs Krystle Nicole Huron, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charleston Afb, South Carolina. Her current practice location is 
1162a Arnold Cir, Charleston Afb, South Carolina. You can reach out to her office (for appointments etc.) via phone at 
(402) 949-2553.
Mrs Krystle Nicole Huron is licensed to practice in South Carolina (license number 28604) 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 1497507594.
				
				
				
				
				
		 
		
		 
Provider's Profile
		
			
			
			| Full Name | Mrs Krystle Nicole Huron | 
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| Gender | Female | 
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| Speciality | Nurse Practitioner - Family | 
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| Location | 1162a Arnold Cir, Charleston Afb, 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. | 
			
			 
			
						  NPI Data:
			
			- NPI Number: 1497507594
 - Provider Enumeration Date: 04/02/2024
 - Last Update Date: 08/01/2025
 			
			  Medicare PECOS Information:
- PECOS PAC ID: 1759825631
 - Enrollment ID: I20240702003347
 
			 
		 
		 
Medical Identifiers
		Medical identifiers for Mrs Krystle Nicole Huron such as npi, medicare ID, medicare PIN, medicaid, etc.
		
		| Identifier | Type | State | Issuer | 
		| 1497507594 | NPI | - | NPPES | 
		
		 
Medical Taxonomies and Licenses
		
		| Taxonomy | Type | License (State) | Status | 
		| 363LF0000X | Nurse Practitioner - Family  | 28604 (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. Mrs Krystle Nicole Huron allows following entities to bill medicare on her behalf.
| Entity Name | Advantage Healthcare Of Charleston Llc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1790086726 PECOS PAC ID: 7416130703 Enrollment ID: O20110526000300 | 
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| Entity Name | Pm Health Alliance, Llc | 
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| Entity Type | Part B Supplier - Clinic/group Practice | 
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| Entity Identifiers | NPI Number: 1326590746 PECOS PAC ID: 0547526121 Enrollment ID: O20171115000656 | 
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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. Mrs Krystle Nicole Huron 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 | 
		Mrs Krystle Nicole Huron, FNP-C Po Box 740013, Atlanta, GA 30374-0013 Ph: (773) 644-3941 | Mrs Krystle Nicole Huron, FNP-C 1162a Arnold Cir, Charleston Afb, SC 29404-2101 Ph: (402) 949-2553 | 
		
		 
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