Kimberly Ann Wells, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Portland, Maine. Her current practice location is
211 Marginal Way, Portland, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 544-9355.
Kimberly Ann Wells is licensed to practice in Maine (license number CNP241470) 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 1902484587.
Physician's Profile
| Full Name | Kimberly Ann Wells |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 211 Marginal Way, Portland, Maine |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902484587
- Provider Enumeration Date: 04/01/2021
- Last Update Date: 09/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 0547663031
- Enrollment ID: I20210721001559
Medical Identifiers
Medical identifiers for Kimberly Ann Wells such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902484587 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 95016926 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 95016916 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | CNP241470 (Maine) | 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 Ann Wells allows following entities to bill medicare on her behalf.
| Entity Name | Elk Grove Urgent Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285812024
PECOS PAC ID: 0648340976
Enrollment ID: O20080529000487 |
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| Entity Name | Capitol Urgent Care Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508133208
PECOS PAC ID: 5294992343
Enrollment ID: O20120201000853 |
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| Entity Name | Senior Care Clinic House Calls |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821409178
PECOS PAC ID: 4981981032
Enrollment ID: O20170427002390 |
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| Entity Name | Daiya Healthcare Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477027381
PECOS PAC ID: 6002158615
Enrollment ID: O20210518002646 |
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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. Kimberly Ann Wells 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 Ann Wells, FNP
360 Us Highway 1 Byp Unit 102,
Portsmouth, NH 03801-7105
Ph: (603) 410-6700 | Kimberly Ann Wells, FNP
211 Marginal Way,
Portland, ME 04101-2467
Ph: (207) 544-9355 |
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