Kenna Courtney Stephanie Altobello, APN is a medicare enrolled "Clinical Nurse Specialist - Adult Health" in Lexington, South Carolina. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). She is a member of the group practice Prisma Health Medical Group-midlands and her current practice location is
104 Saluda Pointe Dr, Lexington, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(803) 296-7846.
Kenna Courtney Stephanie Altobello is licensed to practice in South Carolina (license number 18805) 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 1851716708.
Provider's Profile
| Full Name | Kenna Courtney Stephanie Altobello |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 10 Years |
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| Location | 104 Saluda Pointe Dr, Lexington, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kenna Courtney Stephanie Altobello graduated from nursing school in 2014
NPI Data:
- NPI Number: 1851716708
- Provider Enumeration Date: 03/03/2014
- Last Update Date: 06/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 2163655580
- Enrollment ID: I20180116002351
Medical Identifiers
Medical identifiers for Kenna Courtney Stephanie Altobello such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1851716708 | NPI | - | NPPES |
| NP4873 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 041323580 (Illinois) | Secondary |
| 364SA2200X | Clinical Nurse Specialist - Adult Health | 18805 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Prisma Health Medical Group-midlands | 5991099707 | 881 |
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. Kenna Courtney Stephanie Altobello 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. Kenna Courtney Stephanie Altobello 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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Kenna Courtney Stephanie Altobello, APN
Po Box 743904,
Atlanta, GA 30374-3904
Ph: (803) 296-7320 | Kenna Courtney Stephanie Altobello, APN
104 Saluda Pointe Dr,
Lexington, SC 29072-7295
Ph: (803) 296-7846 |
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