Bethany Kinney, APRN is a medicare enrolled "Nurse Practitioner - Family" in Petersburg, Michigan. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
4100 W Rauch Rd, Petersburg, Michigan. You can reach out to her office (for appointments etc.) via phone at
(419) 343-7072.
Bethany Kinney is licensed to practice in Ohio (license number APRN.CNP.021938) 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 1205347846.
Provider's Profile
| Full Name | Bethany Kinney |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 4100 W Rauch Rd, Petersburg, Michigan |
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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. |
Medical Education and Training:
- Bethany Kinney graduated from nursing school in 2017
NPI Data:
- NPI Number: 1205347846
- Provider Enumeration Date: 10/23/2017
- Last Update Date: 10/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 4385904598
- Enrollment ID: I20251022001278
Medical Identifiers
Medical identifiers for Bethany Kinney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1205347846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LF0000X | Nurse Practitioner - Family | APRN.CNP.021938 (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. Bethany Kinney allows following entities to bill medicare on her behalf.
| Entity Name | Matrix Medical Plus |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376973461 PECOS PAC ID: 2365668720 Enrollment ID: O20220707000373 |
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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. Bethany Kinney 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 |
Bethany Kinney, APRN 14121 Parke Long Ct, Chantilly, VA 20151-1647 Ph: Not Available | Bethany Kinney, APRN 4100 W Rauch Rd, Petersburg, MI 49270-9800 Ph: (419) 343-7072 |
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