Miss Kelley Marie Moody, NP-C - Medicare Nurse Practitioner in Hartsville, SC

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Miss Kelley Marie Moody, NP-C is a medicare enrolled "Family Medicine - Adult Medicine" physician in Hartsville, South Carolina. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 750 W Carolina Ave, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 951-9990.

Miss Kelley Marie Moody is licensed to practice in South Carolina (license number 23682) 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 1194358317.

Contact Information

Miss Kelley Marie Moody, NP-C
750 W Carolina Ave,
Hartsville, SC 29550-4412
(843) 951-9990
(843) 951-9989

Map and Direction




Physician's Profile

Full NameMiss Kelley Marie Moody
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location750 W Carolina Ave, Hartsville, South 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:
  • Miss Kelley Marie Moody graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1194358317
  • Provider Enumeration Date: 02/17/2020
  • Last Update Date: 02/08/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3072923879
  • Enrollment ID: I20201106000369

Medical Identifiers

Medical identifiers for Miss Kelley Marie Moody such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194358317NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0505XFamily Medicine - Adult Medicine 23682 (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. Miss Kelley Marie Moody allows following entities to bill medicare on her behalf.
Entity NameRegional Health & Testing Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699123026
PECOS PAC ID: 5092091041
Enrollment ID: O20170406000675
Entity NameCompassionate Care Of Hartsville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1063173458
PECOS PAC ID: 7618362856
Enrollment ID: O20220324002001

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. Miss Kelley Marie Moody 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
Miss Kelley Marie Moody, NP-C
750 W Carolina Ave,
Hartsville, SC 29550-4412

Ph: (843) 995-9990		Miss Kelley Marie Moody, NP-C
750 W Carolina Ave,
Hartsville, SC 29550-4412

Ph: (843) 951-9990

Reviews and Comments


Family Medicine Doctors in Hartsville, SC

William H Long Iii, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 420 W Carolina Ave, Hartsville, SC 29550
Phone: 843-917-4977    Fax: 843-917-4968
Robert L Elder, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Medical Park Dr, 204, Hartsville, SC 29550
Phone: 843-383-2273    Fax: 843-383-9476
Dr. Joseph Williamson Powell Jr., M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 701 Medical Park Dr, Suite 305, Hartsville, SC 29550
Phone: 843-777-2800    Fax: 843-777-2808
Dr. Jacob Elidge Enterkin,
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550
Phone: 843-339-4790    
Dr. Jeniqua Jefferson Duncan, DO
Family Medicine
Medicare: Medicare Enrolled
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    Fax: 843-332-3985
Gary Barker,
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 1268 S 4th St, Hartsville, SC 29550
Phone: 843-332-3422    

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.