Terra Lynn Kloth, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Awendaw, South Carolina. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). She is a member of the group practice Wayne Memorial Hospital Inc and her current practice location is
6451 Come About Way, Awendaw, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(608) 217-5503.
Terra Lynn Kloth is licensed to practice in South Carolina (license number 19776) 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 1285010611.
Provider's Profile
| Full Name | Terra Lynn Kloth |
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| Gender | Female |
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| Speciality | Certified Registered Nurse Anesthetist (crna) |
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| Experience | 9 Years |
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| Location | 6451 Come About Way, Awendaw, 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:
- Terra Lynn Kloth graduated from nursing school in 2015
NPI Data:
- NPI Number: 1285010611
- Provider Enumeration Date: 08/07/2015
- Last Update Date: 12/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 5698079358
- Enrollment ID: I20210308000481
Medical Identifiers
Medical identifiers for Terra Lynn Kloth such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1285010611 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367500000X | Nurse Anesthetist, Certified Registered | 215418 (South Carolina) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | 19776 (South Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Wayne Memorial Hospital Inc | 3971409079 | 25 |
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. Terra Lynn Kloth allows following entities to bill medicare on her behalf.
| Entity Name | Wayne Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750353462
PECOS PAC ID: 3971409079
Enrollment ID: O20070412000518 |
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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. Terra Lynn Kloth 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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Terra Lynn Kloth, CRNA
6451 Come About Way,
Awendaw, SC 29429-6022
Ph: (608) 217-5503 | Terra Lynn Kloth, CRNA
6451 Come About Way,
Awendaw, SC 29429-6022
Ph: (608) 217-5503 |
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