Ms Traydacia Kiara Pendleton, CRNM, MSN in Salisbury, MD

Ms Traydacia Kiara Pendleton, CRNM, MSN is a medicare enrolled "Advanced Practice Midwife" in Salisbury, Maryland. Her current practice location is 1647 Woodbrooke Dr, Salisbury, Maryland. You can reach out to her office (for appointments etc.) via phone at (410) 546-2424.

Ms Traydacia Kiara Pendleton is licensed to practice in Maryland (license number AC007293) 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 1336902949.

Contact Information

	Ms Traydacia Kiara Pendleton, CRNM, MSN
	1647 Woodbrooke Dr, Salisbury, MD 21804-8502
	(410) 546-2424
	(410) 742-6633

Map and Direction

Provider's Profile

Full Name	Ms Traydacia Kiara Pendleton
Gender	Female
Speciality	Advanced Practice Midwife
Location	1647 Woodbrooke Dr, Salisbury, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1336902949
Provider Enumeration Date: 02/05/2024
Last Update Date: 02/07/2025

Medicare PECOS Information:

PECOS PAC ID: 5890133730
Enrollment ID: I20240410003485

Medical Identifiers

Medical identifiers for Ms Traydacia Kiara Pendleton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1336902949	NPI	-	NPPES
119591300	Medicaid	MD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
367A00000X	Advanced Practice Midwife	AC007293 (Maryland)	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. Ms Traydacia Kiara Pendleton allows following entities to bill medicare on her behalf.

Entity Name	Sentara Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1265485270 PECOS PAC ID: 8921903923 Enrollment ID: O20031203000466

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. Ms Traydacia Kiara Pendleton 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
Ms Traydacia Kiara Pendleton, CRNM, MSN Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015	Ms Traydacia Kiara Pendleton, CRNM, MSN 1647 Woodbrooke Dr, Salisbury, MD 21804-8502 Ph: (410) 546-2424

Reviews and Comments

Advanced Practice Midwife Nurses in Salisbury, MD

Ms. Jamie Corenelius Lynn Dapper, CRNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1647 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-2424 Fax: 410-742-6633
Ms. Karri Lynn Washbon, CRNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1647 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-2424 Fax: 410-742-6633
Ms. Samantha Paige Roberts, CRNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1647 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-2424 Fax: 410-742-6633
Ms. Niarah Hope Russell, CRNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1647 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-2424 Fax: 410-748-6633
Ms. Sarah Alinn Krieg, C.R.N.M. Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 1647 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-2424 Fax: 410-742-6633
Ms. Heather Kaye Hubbard, CRNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1647 Woodbrooke Dr, Salisbury, MD 21804 Phone: 410-546-2424 Fax: 410-742-6633

Ms Traydacia Kiara Pendleton, CRNM, MSN - Medicare Advanced Practice Midwife in Salisbury, MD