Jeffrey Andrew Kingsley, DO is a medicare enrolled "Student In An Organized Health Care Education/training Program" physician in Winston Salem, North Carolina. His current practice location is
1 Medical Center Blvd, Winston Salem, North Carolina. You can reach out to his office (for appointments etc.) via phone at
(336) 716-2011.
Jeffrey Andrew Kingsley is licensed to practice in North Carolina (license number 2022-01893) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1982264453.
Physician's Profile
Full Name | Jeffrey Andrew Kingsley |
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Gender | Male |
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Speciality | Student In An Organized Health Care Education/training Program |
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Location | 1 Medical Center Blvd, Winston Salem, North 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: 1982264453
- Provider Enumeration Date: 06/17/2019
- Last Update Date: 02/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 2668806118
- Enrollment ID: I20220915003879
Medical Identifiers
Medical identifiers for Jeffrey Andrew Kingsley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982264453 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | 2022-01893 (North Carolina) | Secondary |
208M00000X | Hospitalist | 2022-01893 (North Carolina) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | OT019283 (Pennsylvania) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | 2022-01893 (North 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. Jeffrey Andrew Kingsley allows following entities to bill medicare on his behalf.
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
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Entity Name | Cogent Healthcare Of North Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1548207483 PECOS PAC ID: 7911954714 Enrollment ID: O20050404001057 |
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Entity Name | Optimed Hospitalists, Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1235449125 PECOS PAC ID: 8022204171 Enrollment ID: O20101201000378 |
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Entity Name | Sound Physicians Of North Carolina Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346661493 PECOS PAC ID: 7618108515 Enrollment ID: O20140318000319 |
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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. Jeffrey Andrew Kingsley 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 |
Jeffrey Andrew Kingsley, DO 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 | Jeffrey Andrew Kingsley, DO 1 Medical Center Blvd, Winston Salem, NC 27157-0001 Ph: (336) 716-2011 |
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