Mrs Kimberly Lynn Trutza, APRN is a medicare enrolled "Nurse Practitioner - Family" physician in Beachwood, Ohio. Her current practice location is
25501 Chagrin Blvd, Beachwood, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 545-4800.
Mrs Kimberly Lynn Trutza is licensed to practice in Ohio (license number 020232) 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 1487108890.
Physician's Profile
Full Name | Mrs Kimberly Lynn Trutza |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 25501 Chagrin Blvd, Beachwood, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1487108890
- Provider Enumeration Date: 08/15/2016
- Last Update Date: 04/13/2022
Medicare PECOS Information:
- PECOS PAC ID: 7517248743
- Enrollment ID: I20161230001764
Medical Identifiers
Medical identifiers for Mrs Kimberly Lynn Trutza such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1487108890 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207X00000X | Orthopaedic Surgery | 020232 (Ohio) | Secondary |
363LF0000X | Nurse Practitioner - Family | 020232 (Ohio) | 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. Mrs Kimberly Lynn Trutza allows following entities to bill medicare on her behalf.
Entity Name | Northern Ohio Medical Specialists, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225085855 PECOS PAC ID: 2769386192 Enrollment ID: O20031126000214 |
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Entity Name | Community Hospitalist Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538236872 PECOS PAC ID: 5496648123 Enrollment ID: O20040205000697 |
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Entity Name | University Hospitals Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669499414 PECOS PAC ID: 4789682493 Enrollment ID: O20061113000301 |
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Entity Name | New Manna Clg Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972149268 PECOS PAC ID: 2365789559 Enrollment ID: O20200228000603 |
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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. Mrs Kimberly Lynn Trutza 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 |
Mrs Kimberly Lynn Trutza, APRN 12965 Greystone Dr, Hiram, OH 44234-9699 Ph: (216) 570-0908 | Mrs Kimberly Lynn Trutza, APRN 25501 Chagrin Blvd, Beachwood, OH 44122-5603 Ph: (216) 545-4800 |
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