Mrs Kelly Williams Rydell, FNP in Fort Mill, SC

Mrs Kelly Williams Rydell, FNP is a medicare enrolled "Nurse Practitioner - Family" in Fort Mill, South Carolina. Her current practice location is 1740 Highway 160 W, Fort Mill, South Carolina. You can reach out to her office (for appointments etc.) via phone at (866) 389-2727.

Mrs Kelly Williams Rydell is licensed to practice in South Carolina (license number 27403) 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 1962123265.

Contact Information

	Mrs Kelly Williams Rydell, FNP
	1740 Highway 160 W, Fort Mill, SC 29708-8025
	(866) 389-2727
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kelly Williams Rydell
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1740 Highway 160 W, Fort Mill, South Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962123265
Provider Enumeration Date: 09/06/2022
Last Update Date: 06/05/2023

Medicare PECOS Information:

PECOS PAC ID: 8729449616
Enrollment ID: I20230725000959

Medical Identifiers

Medical identifiers for Mrs Kelly Williams Rydell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962123265	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95021706 (California)	Secondary
363LF0000X	Nurse Practitioner - Family	5016854 (North Carolina)	Secondary
363LF0000X	Nurse Practitioner - Family	27403 (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. Mrs Kelly Williams Rydell allows following entities to bill medicare on her behalf.

Entity Name	Minuteclinic Diagnostic South Carolina Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447420815 PECOS PAC ID: 8527126861 Enrollment ID: O20081015000409

Entity Name	Minuteclinic Video Virtual Care, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316402746 PECOS PAC ID: 0143650416 Enrollment ID: O20200507003000

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 Kelly Williams Rydell 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 Kelly Williams Rydell, FNP 1912 Wedgedale Dr, Charlotte, NC 28210-4544 Ph: (703) 400-2551	Mrs Kelly Williams Rydell, FNP 1740 Highway 160 W, Fort Mill, SC 29708-8025 Ph: (866) 389-2727

Reviews and Comments

Nurse Practitioner Nurses in Fort Mill, SC

Kayla Kipp Mosser, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd Ste 207, Fort Mill, SC 29715 Phone: 803-802-5900
Karen Mcgarvey, F.N.P Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1740 Sc 160 West, Fort Mill, SC 29708 Phone: 866-389-2727
Jaden Breyanne Light, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1935 Holbrook Rd, Ste 2200, Fort Mill, SC 29715 Phone: 803-650-4281
Chinelo Ofoma, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 704 Gold Hill Rd, Suite 207, Fort Mill, SC 29715 Phone: 803-802-5900 Fax: 803-802-7101
Meghan Bynum Fields, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Ste 1200, Fort Mill, SC 29715 Phone: 704-667-3380
Dr. Amy Lingenfelter, DNP, APRN, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1201 Carolina Pl Ste 101, Fort Mill, SC 29708 Phone: 803-547-4922
Kelly Taylor Williamson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 704 Gold Hill Rd, Fort Mill, SC 29715 Phone: 803-835-0420

Mrs Kelly Williams Rydell, FNP - Medicare Nurse Practitioner in Fort Mill, SC