Mrs Laurie Kristen Wybenga, FNP NP-C in Rock Hill, SC

Mrs Laurie Kristen Wybenga, FNP NP-C is a medicare enrolled "Nurse Practitioner - Family" in Rock Hill, South Carolina. Her current practice location is 222 Herlong Ave S, Rock Hill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 324-3500.

Mrs Laurie Kristen Wybenga is licensed to practice in South Carolina (license number RX3228) 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 1154512382.

Contact Information

	Mrs Laurie Kristen Wybenga, FNP NP-C
	222 Herlong Ave S, Rock Hill, SC 29732-1158
	(803) 324-3500
	(803) 327-8505

Map and Direction

Provider's Profile

Full Name	Mrs Laurie Kristen Wybenga
Gender	Female
Speciality	Nurse Practitioner - Family
Location	222 Herlong Ave S, Rock Hill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154512382
Provider Enumeration Date: 08/05/2007
Last Update Date: 09/26/2022

Medicare PECOS Information:

PECOS PAC ID: 1951473222
Enrollment ID: I20080701000410

Medical Identifiers

Medical identifiers for Mrs Laurie Kristen Wybenga such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154512382	NPI	-	NPPES
NP1237	Medicaid	SC
346508001	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP127899 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	RX3228 (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 Laurie Kristen Wybenga allows following entities to bill medicare on her behalf.

Entity Name	Piedmont Physician Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194277186 PECOS PAC ID: 7911287552 Enrollment ID: O20161216001613

Entity Name	Continuum Physician Management Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1558191585 PECOS PAC ID: 6002346129 Enrollment ID: O20250205000231

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 Laurie Kristen Wybenga 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 Laurie Kristen Wybenga, FNP NP-C 7703 Floyd Curl Dr, San Antonio, TX 78229-3901 Ph: (210) 567-2788	Mrs Laurie Kristen Wybenga, FNP NP-C 222 Herlong Ave S, Rock Hill, SC 29732-1158 Ph: (803) 324-3500

Reviews and Comments

Nurse Practitioner Nurses in Rock Hill, SC

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Mrs Laurie Kristen Wybenga, FNP NP-C - Medicare Nurse Practitioner in Rock Hill, SC