Kassie J Simmons, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chadbourn, North Carolina. She graduated from nursing school in 2019 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chadbourn Family Practice Center Pa and her current practice location is
104 E 7th Ave, Chadbourn, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 654-3143.
Kassie J Simmons is licensed to practice in North Carolina (license number 5012971) 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 1013542315.
Provider's Profile
| Full Name | Kassie J Simmons |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 104 E 7th Ave, Chadbourn, North Carolina |
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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. |
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Medical Education and Training:
- Kassie J Simmons graduated from nursing school in 2019
NPI Data:
- NPI Number: 1013542315
- Provider Enumeration Date: 03/06/2020
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294164414
- Enrollment ID: I20200608002748
Medical Identifiers
Medical identifiers for Kassie J Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013542315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 267347 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5012971 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5012971 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chadbourn Family Practice Center Pa | 3971633231 | 2 |
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. Kassie J Simmons allows following entities to bill medicare on her behalf.
| Entity Name | Eventus Wholehealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20190402002780 |
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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. Kassie J Simmons 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 |
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Kassie J Simmons, FNP-C
4172 Old Us Highway 74,
Chadbourn, NC 28431-7092
Ph: () - | Kassie J Simmons, FNP-C
104 E 7th Ave,
Chadbourn, NC 28431-1402
Ph: (910) 654-3143 |
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