Kimberly Croxton Wright, CPNP is a medicare enrolled "Pediatrics" in Charleston, South Carolina. Her current practice location is
171 Ashley Ave, Charleston, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 792-1414.
Kimberly Croxton Wright is licensed to practice in South Carolina (license number 3978) 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 1083847503.
Provider's Profile
| Full Name | Kimberly Croxton Wright |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 171 Ashley Ave, 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: 1083847503
- Provider Enumeration Date: 09/01/2009
- Last Update Date: 10/14/2020
Medicare PECOS Information:
- PECOS PAC ID: 7113063942
- Enrollment ID: I20091008000627
Medical Identifiers
Medical identifiers for Kimberly Croxton Wright such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083847503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | R09336 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | A004116 (Arkansas) | Secondary |
| 363L00000X | Nurse Practitioner | 3978 (South Carolina) | Secondary |
| 208000000X | Pediatrics | 3978 (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. Kimberly Croxton Wright allows following entities to bill medicare on her behalf.
| Entity Name | University Medical Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043241110
PECOS PAC ID: 6305758574
Enrollment ID: O20031105000291 |
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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. Kimberly Croxton Wright 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 |
|---|
Kimberly Croxton Wright, CPNP
Po Box 751461,
Charlotte, NC 28275-1461
Ph: (843) 792-6200 | Kimberly Croxton Wright, CPNP
171 Ashley Ave,
Charleston, SC 29425-3500
Ph: (843) 792-1414 |
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