Jessica Kimball, in Pulaski, NY - Medicare Nurse Practitioner

Jessica Kimball, is a medicare enrolled "Nurse Practitioner - Family" in Pulaski, New York. Her current practice location is 61 Delano St, Pulaski, New York. You can reach out to her office (for appointments etc.) via phone at (315) 298-6569.

Jessica Kimball is licensed to practice in New York (license number 339785) 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 1326421504.

Contact Information

	Jessica Kimball,
	61 Delano St, Pulaski, NY 13142-1400
	(315) 298-6569
	Not Available

Map and Direction

Provider's Profile

Full Name	Jessica Kimball
Gender	Female
Speciality	Nurse Practitioner - Family
Location	61 Delano St, Pulaski, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1326421504
Provider Enumeration Date: 07/07/2015
Last Update Date: 06/28/2019

Medicare PECOS Information:

PECOS PAC ID: 3779880257
Enrollment ID: I20241216003730

Medical Identifiers

Medical identifiers for Jessica Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1326421504	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	339785 (New York)	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. Jessica Kimball allows following entities to bill medicare on her behalf.

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191218003345

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. Jessica Kimball 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
Jessica Kimball, 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6569	Jessica Kimball, 61 Delano St, Pulaski, NY 13142-1400 Ph: (315) 298-6569

Reviews and Comments

Nurse Practitioner Nurses in Pulaski, NY

Jody Lee Hipple, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano Street, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968
Heidi Marie Kinnally, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7831
Lindsay Ogorchock, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-7488
Blaze Fahnestock, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569
Annette Digby, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6569
Mckenzie Brubaker, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Delano St, Pulaski, NY 13142 Phone: 315-298-6564 Fax: 315-298-3968

Jessica Kimball, - Medicare Nurse Practitioner in Pulaski, NY