Khadijah Kiana Jefferson, is a
Home Health Aide based in Irmo, South Carolina. Khadijah Kiana Jefferson is licensed to practice in * (Not Available) (license number ) and her current practice location is
7801 Saint Andrews Rd # B1, Irmo, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(803) 240-9950.
NPI number for Khadijah Kiana Jefferson is 1134954191 and her current mailing address is 7801 Saint Andrews Rd # B1, Irmo, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1134954191.
Provider's Profile
Full Name | Khadijah Kiana Jefferson |
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Gender | Female |
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Speciality | Home Health Aide |
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Location | 7801 Saint Andrews Rd # B1, Irmo, South Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1134954191
- Provider Enumeration Date: 09/07/2024
- Last Update Date: 09/07/2024
Medical Identifiers
Medical identifiers for Khadijah Kiana Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1134954191 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 54448 (South Carolina) | Secondary |
372600000X | Adult Companion | (* (Not Available)) | Secondary |
3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Secondary |
376K00000X | Nurse's Aide | (* (Not Available)) | Secondary |
374U00000X | Home Health Aide | (* (Not Available)) | Primary |
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. Khadijah Kiana Jefferson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Khadijah Kiana Jefferson, 7801 Saint Andrews Rd # B1, Irmo, SC 29063-2866 Ph: () - | Khadijah Kiana Jefferson, 7801 Saint Andrews Rd # B1, Irmo, SC 29063-2866 Ph: (803) 240-9950 |
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