Kirsten April Becksvoort, D.O
Individual provider Active NPI Family Medicine Physician · Sumter, SC
NPI 1972964302 · NPPES record last updated Dec 4, 2019
Key facts
- NPI
- 1972964302
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 82961 (SC)
- Practice address
- 308 W Wesmark Blvd
Sumter, SC 29150 - Phone
- (803) 773-5227
- Fax
- (803) 905-1322
- NPI assigned
- Mar 12, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Michigan State University College of Osteopathic Medicine, 2015
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Colonial Family Practice LLC
Practice addresses (Care Compare)
325 Broad St
Suite 100
Sumter, SC 29150-4167
Phone (803) 773-5227
385 W Wesmark Blvd
Sumter, SC 29150-1987
Phone (803) 774-8290
674 W Liberty St
Sumter, SC 29150-4882
Phone (803) 773-5227
Hospital & facility affiliations
- Amedisys Home Health of Lexington
- Prisma Health Tuomey Hospital
- McLeod Health Clarendon
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190919001807 | SC | Practitioner - Family Practice | 5496049405 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colonial Family Practice, LLC | Family Medicine | Current |
Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Current |
Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Current | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice - Manning | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice & Ambulatory Care Center | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
| Colonial Family Practice, LLC | Past | Accepting new patients | |
| Colonial Family Practice, LLC | Family Medicine | Past | Accepting new patients |
Locations
1124 Little St
Camden, SC 29020
Phone (803) 432-9899
4700 Forest Dr
Columbia, SC 29206
Phone (803) 256-1511
1013 Professional Ct
Ste A
Manning, SC 29102
Phone (803) 433-7425
1013 Professional Ct
Ste C
Manning, SC 29102
Phone (803) 433-7425
1036 Professional Ct
Manning, SC 29102
Phone (803) 433-5220
325 Broad St
Ste 200
Sumter, SC 29150
Phone (803) 775-4469
325 Broad St
Sumter, SC 29150
327 Broad St
Sumter, SC 29150
Phone (803) 774-2781
674 W Liberty St
Sumter, SC 29150
Phone 80377352276010
385 W Wesmark Blvd
Sumter, SC 29150
Phone 8037735227 ext. 1013
742 W Liberty St
Sumter, SC 29150
Phone (803) 773-3391
325 Broad St
Ste 100
Sumter, SC 29150
308 W Wesmark Blvd
Sumter, SC 29150
Phone 80377352271013
Interoperability endpoints
- kirsten.becksvoort@colonialhealthcare.eclinicaldirectplus.com
- https://fhir4.healow.com/fhir/r4/CIHIBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 82961 | SC | Yes |
Addresses
Primary practice location
308 W Wesmark Blvd
Sumter, SC 29150
Mailing address
325 Broad St
Ste 100
Sumter, SC 29150-4167
Phone (803) 773-5227
Other practice location 1
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Phone (586) 263-3400
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SCF8307477 | Medicaid | SC |
Other providers in Sumter, SC
- Elijah Scott Bausum
- Sherritta T. Beaufort
- Leslie A Beben
- Elizabeth Cullom Beck
- Cody Becksvoort
- Kimberly L Behling-Pinkston
- Delia Bele
- Believe in Faith Home Care
- Believe in Faith Home Health Care
- Jodi Lynne Belinski
All providers in Sumter, SC · Family Medicine Physician in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.