Dr Kimberly Diane Kearney, DNP is a medicare enrolled "Nurse Practitioner - Family" in Gooding, Idaho. Her current practice location is
134 4th Ave W, Gooding, Idaho. You can reach out to her office (for appointments etc.) via phone at
(505) 238-8639.
Dr Kimberly Diane Kearney is licensed to practice in Wyoming (license number 34454.1357) 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 1043613888.
Provider's Profile
Full Name | Dr Kimberly Diane Kearney |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 134 4th Ave W, Gooding, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1043613888
- Provider Enumeration Date: 10/08/2014
- Last Update Date: 07/19/2018
Medicare PECOS Information:
- PECOS PAC ID: 1254656663
- Enrollment ID: I20150205002281
Medical Identifiers
Medical identifiers for Dr Kimberly Diane Kearney such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043613888 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 34454.1357 (Wyoming) | Primary |
363LF0000X | Nurse Practitioner - Family | 53414 (Idaho) | Secondary |
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 Kimberly Diane Kearney allows following entities to bill medicare on her behalf.
Entity Name | Lander Valley Physician Practices Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215971510 PECOS PAC ID: 5597657080 Enrollment ID: O20040329000810 |
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Entity Name | Uhs Of Wyoming, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295709822 PECOS PAC ID: 9830111442 Enrollment ID: O20060109000787 |
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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. Dr Kimberly Diane Kearney 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 Kimberly Diane Kearney, DNP 830 Lincoln St, Lander, WY 82520-2736 Ph: (307) 332-9577 | Dr Kimberly Diane Kearney, DNP 134 4th Ave W, Gooding, ID 83330-1018 Ph: (505) 238-8639 |
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