Kim M Fallon, APN - Medicare Nurse Practitioner in Bayville, NJ

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Kim M Fallon, APN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Bayville, New Jersey. She graduated from nursing school in 2004 and has 20 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Barnabas Health Medical Group, Pc and her current practice location is 160 Route 9, Bayville, New Jersey. You can reach out to her office (for appointments etc.) via phone at (732) 349-5550.

Kim M Fallon is licensed to practice in New Jersey (license number 26NJ00062300) 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 1013005289.

Contact Information

Kim M Fallon, APN
160 Route 9,
Bayville, NJ 08721-1229
(732) 349-5550
(732) 505-1517

Map and Direction




Provider's Profile

Full NameKim M Fallon
GenderFemale
SpecialityNurse Practitioner
Experience20 Years
Location160 Route 9, Bayville, New Jersey
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kim M Fallon graduated from nursing school in 2004
  NPI Data:
  • NPI Number: 1013005289
  • Provider Enumeration Date: 10/11/2006
  • Last Update Date: 02/11/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 6002850849
  • Enrollment ID: I20050614000047

Medical Identifiers

Medical identifiers for Kim M Fallon such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013005289NPI-NPPES
0192881MedicaidNJ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 26NJ00062300 (New Jersey)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Community Medical CenterToms river, NJHospital
Monmouth Medical Center - Southern CampusLakewood, NJHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Barnabas Health Medical Group, Pc0648172809159

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. Kim M Fallon allows following entities to bill medicare on her behalf.
Entity NameBarnabas Health Medical Group, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447206420
PECOS PAC ID: 0648172809
Enrollment ID: O20040127000361
Entity NameNeuropsychology & Counseling Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033213251
PECOS PAC ID: 4880689298
Enrollment ID: O20040415001297
Entity NameOcean Mental Health Services Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508884347
PECOS PAC ID: 7416943709
Enrollment ID: O20040422000492

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. Kim M Fallon 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 AddressPractice Location Address
Kim M Fallon, APN
160 Route 9,
Bayville, NJ 08721-1229

Ph: (732) 349-5550		Kim M Fallon, APN
160 Route 9,
Bayville, NJ 08721-1229

Ph: (732) 349-5550

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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