Kristen Jeffers Matthews, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Columbia, South Carolina. Her current practice location is
2 Medical Park Rd Ste Range, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 434-9660.
Kristen Jeffers Matthews is licensed to practice in South Carolina (license number 27321) 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 1053093500.
Physician's Profile
Full Name | Kristen Jeffers Matthews |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 2 Medical Park Rd Ste Range, Columbia, 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. |
NPI Data:
- NPI Number: 1053093500
- Provider Enumeration Date: 08/03/2023
- Last Update Date: 09/01/2023
Medicare PECOS Information:
- PECOS PAC ID: 1254795784
- Enrollment ID: I20230915002076
Medical Identifiers
Medical identifiers for Kristen Jeffers Matthews such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053093500 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | 27321 (South Carolina) | Secondary |
363LF0000X | Nurse Practitioner - Family | 27321 (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. Kristen Jeffers Matthews allows following entities to bill medicare on her behalf.
Entity Name | Prisma Health Medical Group-midlands |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226 |
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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. Kristen Jeffers Matthews 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 |
Kristen Jeffers Matthews, FNP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603 | Kristen Jeffers Matthews, FNP 2 Medical Park Rd Ste Range, Columbia, SC 29203-6808 Ph: (803) 434-9660 |
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