Kimberly R Novak, FNP in Show Low, AZ - Medicare Nurse Practitioner

Kimberly R Novak, FNP is a medicare enrolled "Nurse Practitioner - Family" in Show Low, Arizona. Her current practice location is 5300 S Sutter Dr Ste A, Show Low, Arizona. You can reach out to her office (for appointments etc.) via phone at (928) 251-4244.

Kimberly R Novak is licensed to practice in Arizona (license number 280725) 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 1184346793.

Contact Information

	Kimberly R Novak, FNP
	5300 S Sutter Dr Ste A, Show Low, AZ 85901-8054
	(928) 251-4244
	(833) 539-1739

Map and Direction

Provider's Profile

Full Name	Kimberly R Novak
Gender	Female
Speciality	Nurse Practitioner - Family
Location	5300 S Sutter Dr Ste A, Show Low, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1184346793
Provider Enumeration Date: 09/12/2022
Last Update Date: 05/19/2023

Medicare PECOS Information:

PECOS PAC ID: 6305215435
Enrollment ID: I20221213001682

Medical Identifiers

Medical identifiers for Kimberly R Novak such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1184346793	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	280725 (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. Kimberly R Novak allows following entities to bill medicare on her behalf.

Entity Name	Premier Mountain Healthcare Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881261857 PECOS PAC ID: 4486058930 Enrollment ID: O20210805003605

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. Kimberly R Novak 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
Kimberly R Novak, FNP 5300 S Sutter Dr Ste A, Show Low, AZ 85901-8054 Ph: (928) 251-4244	Kimberly R Novak, FNP 5300 S Sutter Dr Ste A, Show Low, AZ 85901-8054 Ph: (928) 251-4244

Reviews and Comments

Nurse Practitioner Nurses in Show Low, AZ

Kelly Curiel, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2061 S Canyon Ridge Trl, Show Low, AZ 85901 Phone: 251-447-1981
Sarah Garfield, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2200 E Show Low Lake Rd, Show Low, AZ 85901 Phone: 928-537-6758
Lezlie Duckett, NP-PSYCHIATRY Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2051 Evergreen Ln Ste B, Show Low, AZ 85901 Phone: 928-537-6841 Fax: 928-532-2192
Katheryn M Johnston, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4951 S White Mountain Rd Bldg A, Show Low, AZ 85901 Phone: 928-537-6700 Fax: 928-532-2199
Mary E Vega, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5300 S Sutter Dr, Suite 11, Show Low, AZ 85901 Phone: 928-537-9844 Fax: 928-537-4437
Mrs. Brandie Dianna Griffin, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2500 E Hunt Dr Ste H, Show Low, AZ 85901 Phone: 928-537-6937
Tabatha Grace, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 S White Mountain Rd Bldg 3, Show Low, AZ 85901 Phone: 928-532-5838

Kimberly R Novak, FNP - Medicare Nurse Practitioner in Show Low, AZ