Mrs Keionda Crumblin Caldwell, NURSE PRACTITIONER - Medicare Nurse Practitioner in Columbia, SC

Mrs Keionda Crumblin Caldwell, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Columbia, South Carolina. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Eau Claire Cooperative Health Center, Inc. and her current practice location is 4605 Monticello Rd Ste 2, Columbia, South Carolina. You can reach out to her office (for appointments etc.) via phone at (803) 753-5590.

Mrs Keionda Crumblin Caldwell is licensed to practice in South Carolina (license number 20857) 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 1487185484.

Contact Information

Mrs Keionda Crumblin Caldwell, NURSE PRACTITIONER
4605 Monticello Rd Ste 2,
Columbia, SC 29203-4156
(803) 753-5590
Not Available

Map and Direction




Provider's Profile

Full NameMrs Keionda Crumblin Caldwell
GenderFemale
SpecialityNurse Practitioner
Experience8 Years
Location4605 Monticello Rd Ste 2, Columbia, South Carolina
Accepts Medicare AssignmentsYes. 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 Keionda Crumblin Caldwell graduated from nursing school in 2016
  NPI Data:
  • NPI Number: 1487185484
  • Provider Enumeration Date: 03/22/2017
  • Last Update Date: 02/27/2018
  Medicare PECOS Information:
  • PECOS PAC ID: 2466728829
  • Enrollment ID: I20171030003024

Medical Identifiers

Medical identifiers for Mrs Keionda Crumblin Caldwell such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487185484NPI-NPPES
NP4722MedicaidSC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 20857 (South Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eau Claire Cooperative Health Center, Inc.327443422047

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 Keionda Crumblin Caldwell allows following entities to bill medicare on her behalf.
Entity NameEau Claire Cooperative Health Center, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346249430
PECOS PAC ID: 3274434220
Enrollment ID: O20040114000335

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 Keionda Crumblin Caldwell 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 AddressPractice Location Address
Mrs Keionda Crumblin Caldwell, NURSE PRACTITIONER
Po Box 3788,
Columbia, SC 29230-3788

Ph: (803) 733-5969
Mrs Keionda Crumblin Caldwell, NURSE PRACTITIONER
4605 Monticello Rd Ste 2,
Columbia, SC 29203-4156

Ph: (803) 753-5590

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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