Kelsey Rae Gerughty, APRN is a medicare enrolled "Nurse Practitioner - Adult Health" in N. Charleston, South Carolina. Her current practice location is
9302 Medical Plaza Drive, Suite C, Ltc Health Solutions, N. Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 751-6424.
Kelsey Rae Gerughty is licensed to practice in Kentucky (license number 3009576) 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 1912380296.
Provider's Profile
| Full Name | Kelsey Rae Gerughty |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 9302 Medical Plaza Drive, Suite C, N. Charleston, 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: 1912380296
- Provider Enumeration Date: 07/03/2015
- Last Update Date: 01/13/2017
Medicare PECOS Information:
- PECOS PAC ID: 9830404466
- Enrollment ID: I20150811006074
Medical Identifiers
Medical identifiers for Kelsey Rae Gerughty such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912380296 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | 3009576 (Kentucky) | 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. Kelsey Rae Gerughty allows following entities to bill medicare on her behalf.
| Entity Name | Extended Care Health Professionals Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760563266
PECOS PAC ID: 8022024371
Enrollment ID: O20060224000071 |
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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. Kelsey Rae Gerughty 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 |
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Kelsey Rae Gerughty, APRN
1624 Main Street, Agape Senior Primary Care, Inc., Dba Ltc Health Solutio,
Columbia, SC 29201
Ph: (803) 454-0365 | Kelsey Rae Gerughty, APRN
9302 Medical Plaza Drive, Suite C, Ltc Health Solutions,
N. Charleston, SC 29406
Ph: (864) 751-6424 |
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