Mrs Kelley Hodge Bostic, FNP in Hartsville, SC

Mrs Kelley Hodge Bostic, FNP is a medicare enrolled "Nurse Practitioner - Family" in Hartsville, South Carolina. She went to University Of South Carolina School Of Medicine and graduated in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Prisma Health University Medical Group and her current practice location is 701 Medical Park Dr Ste 301, Hartsville, South Carolina. You can reach out to her office (for appointments etc.) via phone at (843) 383-5978.

Mrs Kelley Hodge Bostic is licensed to practice in South Carolina (license number 21427) 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 1396257325.

Contact Information

	Mrs Kelley Hodge Bostic, FNP
	701 Medical Park Dr Ste 301, Hartsville, SC 29550-4779
	(843) 383-5978
	(843) 383-5977

Map and Direction

Provider's Profile

Full Name	Mrs Kelley Hodge Bostic
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	701 Medical Park Dr Ste 301, Hartsville, South Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Kelley Hodge Bostic attended and graduated from University Of South Carolina School Of Medicine in 2017

NPI Data:

NPI Number: 1396257325
Provider Enumeration Date: 10/31/2017
Last Update Date: 03/02/2022

Medicare PECOS Information:

PECOS PAC ID: 5991064073
Enrollment ID: I20180117002958

Medical Identifiers

Medical identifiers for Mrs Kelley Hodge Bostic such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1396257325	NPI	-	NPPES
NP4882	Medicaid	SC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	21427 (South Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	21427 (South Carolina)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Prisma Heath Tuomey Hospital	Sumter, SC	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Prisma Health University Medical Group	8325950983	2206

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. Mrs Kelley Hodge Bostic allows following entities to bill medicare on her behalf.

Entity Name	Prisma Health University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295763217 PECOS PAC ID: 8325950983 Enrollment ID: O20031103000238

Entity Name	Prisma Health Medical Group-midlands
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275988321 PECOS PAC ID: 5991099707 Enrollment ID: O20160802001226

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. Mrs Kelley Hodge Bostic 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
Mrs Kelley Hodge Bostic, FNP 300 E Mcbee Ave Fl 4, Greenville, SC 29601-2842 Ph: (864) 522-8603	Mrs Kelley Hodge Bostic, FNP 701 Medical Park Dr Ste 301, Hartsville, SC 29550-4779 Ph: (843) 383-5978

Reviews and Comments

Nurse Practitioner Nurses in Hartsville, SC

Mrs. Zita Acuna Andreski, APRN FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985
Ms. Gyetri Mitchell, MSN, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1304 W Bobo Newsom Hwy, Hartsville, SC 29550 Phone: 843-339-4600
Mr. Robert Alexander Campbell Jr., FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 701 Medical Park Dr Ste 207, Hartsville, SC 29550 Phone: 843-383-5191 Fax: 843-332-9229
Katelon Marie Smith, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-339-5518
Staci Leigh Cassidy, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985
Aquilla Bec, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-0118
Ms. Elizabeth Anne Sorg, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1268 S 4th St, Hartsville, SC 29550 Phone: 843-332-3422 Fax: 843-332-3985

Mrs Kelley Hodge Bostic, FNP - Medicare Nurse Practitioner in Hartsville, SC