Kim R Mcfadden, PA is a medicare enrolled "Physician Assistant" in Providence Forge, Virginia. Her current practice location is
9010 Pocahontas Trail, Providence Forge, Virginia. You can reach out to her office (for appointments etc.) via phone at
(804) 966-5208.
Kim R Mcfadden is licensed to practice in Virginia (license number 0110002478) 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 1295879963.
Provider's Profile
| Full Name | Kim R Mcfadden |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 9010 Pocahontas Trail, Providence Forge, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1295879963
- Provider Enumeration Date: 02/16/2007
- Last Update Date: 03/13/2008
Medicare PECOS Information:
- PECOS PAC ID: 2466547641
- Enrollment ID: I20170804001028
Medical Identifiers
Medical identifiers for Kim R Mcfadden such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1295879963 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 0110002478 (Virginia) | 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. Kim R Mcfadden allows following entities to bill medicare on her behalf.
| Entity Name | Northside Emergency Associates, P.C. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285686303
PECOS PAC ID: 9335135144
Enrollment ID: O20040426000165 |
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| Entity Name | Allatoona Emergency Group PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487381349
PECOS PAC ID: 2567847684
Enrollment ID: O20220909001871 |
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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. Kim R Mcfadden 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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Kim R Mcfadden, PA
Po Box 7,
Quinton, VA 23141-0007
Ph: (804) 932-1005 | Kim R Mcfadden, PA
9010 Pocahontas Trail,
Providence Forge, VA 23140
Ph: (804) 966-5208 |
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