Kelly Reyna Radford, DO - Medicare Family Practice in Kings Mountain, NC

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Kelly Reyna Radford, DO is a medicare enrolled "Family Medicine" physician in Kings Mountain, North Carolina. She went to Edward Via Col Of Osteo Medicine-carolinas Campus and graduated in 2015 and has 9 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Carolinas Physicians Network Inc and her current practice location is 2202 Carolina Pl, Ste 100, Kings Mountain, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 487-2290.

Kelly Reyna Radford is licensed to practice in North Carolina (license number 2018-00301) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1750763876.

Contact Information

Kelly Reyna Radford, DO
2202 Carolina Pl, Ste 100,
Kings Mountain, NC 28086-8807
(980) 487-2290
Not Available

Map and Direction




Physician's Profile

Full NameKelly Reyna Radford
GenderFemale
SpecialityFamily Practice
Experience9 Years
Location2202 Carolina Pl, Kings Mountain, North Carolina
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Reyna Radford attended and graduated from Edward Via Col Of Osteo Medicine-carolinas Campus in 2015
  NPI Data:
  • NPI Number: 1750763876
  • Provider Enumeration Date: 06/25/2015
  • Last Update Date: 07/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 1052699337
  • Enrollment ID: I20180622002313

Medical Identifiers

Medical identifiers for Kelly Reyna Radford such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750763876NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 2018-00301 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Kindred At HomeShelby, NCHome health agency
Carolinas Medical Center/behav HealthCharlotte, NCHospital
Atrium Health ClevelandShelby, NCHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Carolinas Physicians Network Inc33754496551649

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. Kelly Reyna Radford allows following entities to bill medicare on her behalf.
Entity NameCarolinas Physicians Network Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437607686
PECOS PAC ID: 3375449655
Enrollment ID: O20040115000819
Entity NameDlp Rutherford Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962821322
PECOS PAC ID: 0345466561
Enrollment ID: O20140724001507

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. Kelly Reyna Radford 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 AddressPractice Location Address
Kelly Reyna Radford, DO
Po Box 19305,
Charlotte, NC 28219-9305

Ph: () -		Kelly Reyna Radford, DO
2202 Carolina Pl, Ste 100,
Kings Mountain, NC 28086-8807

Ph: (980) 487-2290

Reviews and Comments


Family Medicine Doctors in Kings Mountain, NC

Dr. Deepak Ramchandra Gelot., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 707 W King St, Kings Mountain, NC 28086
Phone: 704-734-0001    
Dr. Julia K Saluke, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 214 Cleveland Ave, Kings Mountain, NC 28086
Phone: 704-730-1228    Fax: 704-730-1231
Dr. Jeffrey P Carley, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 827 E King St, Kings Mountain, NC 28086
Phone: 704-734-4550    Fax: 704-734-4540
Steven Julian Newton, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 706 W King St, Kings Mountain, NC 28086
Phone: 980-487-3751    
Peter S. Jeon, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 706 W King St, Kings Mountain, NC 28086
Phone: 980-487-3751    
Katay C Bouttamy, D.O.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 827 E King St, Kings Mountain, NC 28086
Phone: 704-734-4550    Fax: 704-734-4540

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.