Dr Jaime Lyn Kibler-mccormick, DO is a medicare enrolled "Family Medicine" physician in St. Johns, Florida. She went to Lake Erie College Of Osteopathic Medicine, Erie and graduated in 2003 and has 21 years of diverse experience with area of expertise as Family Practice. She is a member of the group practice Baptist Primary Care Inc and her current practice location is
30 Ardisia Lane, St. Johns, Florida. You can reach out to her office (for appointments etc.) via phone at
(904) 287-2794.
Dr Jaime Lyn Kibler-mccormick is licensed to practice in Florida (license number OS9402) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194796813.
Physician's Profile
| Full Name | Dr Jaime Lyn Kibler-mccormick |
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| Gender | Female |
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| Speciality | Family Practice |
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| Experience | 21 Years |
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| Location | 30 Ardisia Lane, St. Johns, Florida |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Jaime Lyn Kibler-mccormick attended and graduated from Lake Erie College Of Osteopathic Medicine, Erie in 2003
NPI Data:
- NPI Number: 1194796813
- Provider Enumeration Date: 01/30/2006
- Last Update Date: 09/09/2022
Medicare PECOS Information:
- PECOS PAC ID: 8022117340
- Enrollment ID: I20070627000019
Medical Identifiers
Medical identifiers for Dr Jaime Lyn Kibler-mccormick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194796813 | NPI | - | NPPES |
| 009172600 | Medicaid | FL | |
| P01321205 | Other | FL | RAILROAD MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | OS9402 (Florida) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Baptist Primary Care Inc | 0648177733 | 399 |
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 Jaime Lyn Kibler-mccormick allows following entities to bill medicare on her behalf.
| Entity Name | Baptist Primary Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248 |
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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 Jaime Lyn Kibler-mccormick 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 |
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Dr Jaime Lyn Kibler-mccormick, DO
Po Box 746638,
Atlanta, GA 30374-6638
Ph: (904) 202-1032 | Dr Jaime Lyn Kibler-mccormick, DO
30 Ardisia Lane,
St. Johns, FL 32259
Ph: (904) 287-2794 |
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