Ms Karen Elaine Clyburn, APRN is a medicare enrolled "Nurse Practitioner - Family" in Mc Bee, South Carolina. She went to Indiana University School Of Medicine and graduated in 2007 and has 17 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sandhills Medical Foundation, Inc. and her current practice location is
645 S Seventh St, Mc Bee, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 335-8291.
Ms Karen Elaine Clyburn is licensed to practice in South Carolina (license number 3637) 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 1215181789.
Provider's Profile
| Full Name | Ms Karen Elaine Clyburn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 17 Years |
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| Location | 645 S Seventh St, Mc Bee, South Carolina |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Karen Elaine Clyburn attended and graduated from Indiana University School Of Medicine in 2007
NPI Data:
- NPI Number: 1215181789
- Provider Enumeration Date: 11/11/2008
- Last Update Date: 06/16/2016
Medicare PECOS Information:
- PECOS PAC ID: 3577758903
- Enrollment ID: I20101111000612
Medical Identifiers
Medical identifiers for Ms Karen Elaine Clyburn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1215181789 | NPI | - | NPPES |
| 3637 | Other | SC | LIC |
| 363LF0000X | Other | SC | TAXONOMY |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 3637 (South Carolina) | Primary |
Medical Facilities Affiliation
| Facility Name | Location | Facility Type |
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| Kershawhealth | Camden, SC | Hospital |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sandhills Medical Foundation, Inc. | 8224949821 | 22 |
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. Ms Karen Elaine Clyburn allows following entities to bill medicare on her behalf.
| Entity Name | Sandhills Medical Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1568541597
PECOS PAC ID: 8224949821
Enrollment ID: O20031126000326 |
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| Entity Name | Sandhills Medical Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922584481
PECOS PAC ID: 8224949821
Enrollment ID: O20200528000475 |
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| Entity Name | Sandhills Medical Foundation, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083228779
PECOS PAC ID: 8224949821
Enrollment ID: O20230104003131 |
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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. Ms Karen Elaine Clyburn 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 |
|---|
Ms Karen Elaine Clyburn, APRN
40 Baldwin Ave,
Lugoff, SC 29078-9406
Ph: (803) 408-3262 | Ms Karen Elaine Clyburn, APRN
645 S Seventh St,
Mc Bee, SC 29101-7101
Ph: (843) 335-8291 |
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