Kelsey Shanay Charley, APRN is a medicare enrolled "Nurse Practitioner - Family" in Neeses, South Carolina. Her current practice location is
7061 Norway Rd, Neeses, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 263-4086.
Kelsey Shanay Charley is licensed to practice in South Carolina (license number 24639) 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 1396467718.
Provider's Profile
Full Name | Kelsey Shanay Charley |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 7061 Norway Rd, Neeses, 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: 1396467718
- Provider Enumeration Date: 09/13/2022
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 6204203540
- Enrollment ID: I20221031000564
Medical Identifiers
Medical identifiers for Kelsey Shanay Charley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1396467718 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 24639 (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. Kelsey Shanay Charley allows following entities to bill medicare on her behalf.
Entity Name | Family Health Centers, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144248451 PECOS PAC ID: 2860305075 Enrollment ID: O20031112000393 |
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Entity Name | Prisma Health Urgent Care Of South Carolina Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1851000855 PECOS PAC ID: 1254703788 Enrollment ID: O20230210000249 |
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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 Shanay Charley 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 |
Kelsey Shanay Charley, APRN 7061 Norway Rd, Neeses, SC 29107-9021 Ph: (803) 813-1325 | Kelsey Shanay Charley, APRN 7061 Norway Rd, Neeses, SC 29107-9021 Ph: (803) 263-4086 |
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