Dr Jaime Lyn Kibler-mccormick, DO - Medicare Family Practice in St. Johns, FL

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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 23 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.

Contact Information

Dr Jaime Lyn Kibler-mccormick, DO
30 Ardisia Lane,
St. Johns, FL 32259
(904) 287-2794
Not Available

Map and Direction




Physician's Profile

Full NameDr Jaime Lyn Kibler-mccormick
GenderFemale
SpecialityFamily Practice
Experience23 Years
Location30 Ardisia Lane, St. Johns, Florida
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  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.
IdentifierTypeStateIssuer
1194796813NPI-NPPES
009172600MedicaidFL
P01321205OtherFLRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine OS9402 (Florida)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Baptist Home Health CareJacksonville, FLHome health agency
Baptist Health Medical Center - JacksonvilleJacksonville, FLHospital
Baptist Medical Center BeachesJacksonville beach, FLHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Baptist Primary Care Inc0648177733454

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 NameBaptist Primary Care Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508817529
PECOS PAC ID: 0648177733
Enrollment ID: O20031217000248

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 AddressPractice Location Address
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

Reviews and Comments


Family Medicine Doctors in St. Johns, FL

Sarah Hagerbrant, DO
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Ardisia Lane, St. Johns, FL 32259
Phone: 904-287-2794    Fax: 904-390-7458
Dr. Donald Jacocks Levine, M.D.
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 30 Ardisia Lane, St. Johns, FL 32259
Phone: 904-287-2794    Fax: 904-390-7458

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.