Dr Kimberly Rae King, AUD is a medicare enrolled "Audiologist" provider in North Myrtle Beach, South Carolina. Her current practice location is
640 6th Ave S, North Myrtle Beach, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 663-4327.
Dr Kimberly Rae King is licensed to practice in South Carolina (license number 3045) 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 1720057011.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Rae King |
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| Gender | Female |
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| Speciality | Audiologist |
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| Location | 640 6th Ave S, North Myrtle Beach, 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: 1720057011
- Provider Enumeration Date: 03/17/2006
- Last Update Date: 06/12/2008
Medicare PECOS Information:
- PECOS PAC ID: 6103712781
- Enrollment ID: I20040223000660
Medical Identifiers
Medical identifiers for Dr Kimberly Rae King such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720057011 | NPI | - | NPPES |
| Q325400281 | Other | SC | BCBS OF SC |
| 87726 | Other | SC | UNITEDHEALTHCARE |
| SA0405 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 231H00000X | Audiologist | 3045 (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. Dr Kimberly Rae King allows following entities to bill medicare on her behalf.
| Provider Name | Coastal Carolina Otolaryngology Associates, Pa |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1497717086
PECOS PAC ID: 4981768645
Enrollment ID: O20090126000382 |
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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. Dr Kimberly Rae King 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 |
|---|
Dr Kimberly Rae King, AUD
640 6th Ave S,
North Myrtle Beach, SC 29582-3310
Ph: (843) 663-4327 | Dr Kimberly Rae King, AUD
640 6th Ave S,
North Myrtle Beach, SC 29582-3310
Ph: (843) 663-4327 |
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