Kimmy S Oberstar, CPNP, PMHS in Saint Paul, MN

Kimmy S Oberstar, CPNP, PMHS is a medicare enrolled "Nurse Practitioner - Pediatrics" in Saint Paul, Minnesota. Her current practice location is 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at (651) 220-6720.

Kimmy S Oberstar is licensed to practice in Minnesota (license number R1115279) 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 1043323678.

Contact Information

	Kimmy S Oberstar, CPNP, PMHS
	360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567
	(651) 220-6720
	(651) 220-6707

Map and Direction

Provider's Profile

Full Name	Kimmy S Oberstar
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	360 Sherman St Ste 200, Saint Paul, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043323678
Provider Enumeration Date: 08/17/2006
Last Update Date: 08/24/2012

Medicare PECOS Information:

PECOS PAC ID: 1456393602
Enrollment ID: I20050526000943

Medical Identifiers

Medical identifiers for Kimmy S Oberstar such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043323678	NPI	-	NPPES
434716100	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	R1115279 (Minnesota)	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. Kimmy S Oberstar allows following entities to bill medicare on her behalf.

Entity Name	Range Regional Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669569265 PECOS PAC ID: 8022920024 Enrollment ID: O20031110000095

Entity Name	Children's Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932208808 PECOS PAC ID: 2668370966 Enrollment ID: O20040406000939

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. Kimmy S Oberstar 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
Kimmy S Oberstar, CPNP, PMHS 2910 Centre Pointe Drive, Childrens Health Care, Roseville, MN 55113 Ph: (651) 855-2327	Kimmy S Oberstar, CPNP, PMHS 360 Sherman St Ste 200, Childrens Specialty Clinic Psychological Services Stpl, Saint Paul, MN 55102-2567 Ph: (651) 220-6720

Reviews and Comments

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Kimmy S Oberstar, CPNP, PMHS - Medicare Nurse Practitioner in Saint Paul, MN