Dr Audrey Russell Kibble, DNP, FNP-C in Tucson, AZ

Dr Audrey Russell Kibble, DNP, FNP-C is a medicare enrolled "Nurse Practitioner" in Tucson, Arizona. Her current practice location is 140 W Speedway Blvd, Ste 100, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (520) 628-7871.

Dr Audrey Russell Kibble is licensed to practice in Arizona (license number RN026677) 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 1164589974.

Contact Information

	Dr Audrey Russell Kibble, DNP, FNP-C
	140 W Speedway Blvd, Ste 100, Tucson, AZ 85705-7698
	(520) 628-7871
	(520) 205-8461

Map and Direction

Provider's Profile

Full Name	Dr Audrey Russell Kibble
Gender	Female
Speciality	Nurse Practitioner
Location	140 W Speedway Blvd, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164589974
Provider Enumeration Date: 01/02/2007
Last Update Date: 03/11/2016

Medicare PECOS Information:

PECOS PAC ID: 4082673371
Enrollment ID: I20041004000174

Medical Identifiers

Medical identifiers for Dr Audrey Russell Kibble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164589974	NPI	-	NPPES
557902	Medicaid	AZ
557902	Other	AZ	PIMA HEALTH SYSTEMS
557902001	Other	AZ	MERCY CARE PLAN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	RN026677 (Arizona)	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. Dr Audrey Russell Kibble allows following entities to bill medicare on her behalf.

Entity Name	Banner -- University Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508809427 PECOS PAC ID: 7719899871 Enrollment ID: O20031105000694

Entity Name	Codac Health Recovery And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033156567 PECOS PAC ID: 6103813811 Enrollment ID: O20040426001693

Entity Name	St Elizabeths Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235560830 PECOS PAC ID: 3072731397 Enrollment ID: O20140828001967

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. Dr Audrey Russell Kibble 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
Dr Audrey Russell Kibble, DNP, FNP-C 140 W Speedway Blvd, Ste 100, Tucson, AZ 85705-7698 Ph: (520) 628-7871	Dr Audrey Russell Kibble, DNP, FNP-C 140 W Speedway Blvd, Ste 100, Tucson, AZ 85705-7698 Ph: (520) 628-7871

Reviews and Comments

Nurse Practitioner Nurses in Tucson, AZ

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Neva Corbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1951 N Wilmot Rd, Bldg 4, Tucson, AZ 85712 Phone: 520-318-1114 Fax: 520-318-4693
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Dr Audrey Russell Kibble, DNP, FNP-C - Medicare Nurse Practitioner in Tucson, AZ