Kristina Everhart, is a medicare enrolled "Nurse Practitioner" in Rockwell, North Carolina. Her current practice location is
316 W Main St, Rockwell, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(704) 279-1046.
Kristina Everhart is licensed to practice in North Carolina (license number 5018765) 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 1104516152.
Provider's Profile
| Full Name | Kristina Everhart |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 316 W Main St, Rockwell, North 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: 1104516152
- Provider Enumeration Date: 05/12/2023
- Last Update Date: 11/28/2023
Medicare PECOS Information:
- PECOS PAC ID: 4284086166
- Enrollment ID: I20240116003300
Medical Identifiers
Medical identifiers for Kristina Everhart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104516152 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 323613 (North Carolina) | Secondary |
| 363LP2300X | Nurse Practitioner - Primary Care | 5018765 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5018765 (North 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. Kristina Everhart allows following entities to bill medicare on her behalf.
| Entity Name | Novant Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366409492
PECOS PAC ID: 1153234893
Enrollment ID: O20031121000692 |
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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. Kristina Everhart 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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Kristina Everhart,
Po Box 60447,
Charlotte, NC 28260-0447
Ph: () - | Kristina Everhart,
316 W Main St,
Rockwell, NC 28138-8471
Ph: (704) 279-1046 |
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