Kimberly A Walls, MSN,FNP is a medicare enrolled "Family Medicine - Adult Medicine" in Phoenix, Arizona. She graduated from nursing school in 2018 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice G And K Medical Associates, P.c. and her current practice location is
19829 N 27th Ave, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 516-4400.
Kimberly A Walls is licensed to practice in Arizona (license number 219280) 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 1760996128.
Provider's Profile
| Full Name | Kimberly A Walls |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 19829 N 27th Ave, Phoenix, Arizona |
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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:
- Kimberly A Walls graduated from nursing school in 2018
NPI Data:
- NPI Number: 1760996128
- Provider Enumeration Date: 11/21/2017
- Last Update Date: 11/13/2018
Medicare PECOS Information:
- PECOS PAC ID: 6103162052
- Enrollment ID: I20190114001905
Medical Identifiers
Medical identifiers for Kimberly A Walls such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760996128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WG0000X | Registered Nurse - General Practice | 146118 (Arizona) | Secondary |
| 207QA0505X | Family Medicine - Adult Medicine | 219280 (Arizona) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| G And K Medical Associates, P.c. | 4789668559 | 7 |
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. Kimberly A Walls allows following entities to bill medicare on her behalf.
| Entity Name | G & K Medical Associates, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578517793
PECOS PAC ID: 4789668559
Enrollment ID: O20040617001117 |
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| Entity Name | Honorhealth Ambulatory |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1407050917
PECOS PAC ID: 5991603110
Enrollment ID: O20071005000449 |
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| Entity Name | Ceb Capital Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1750754982
PECOS PAC ID: 0244537561
Enrollment ID: O20160330002570 |
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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. Kimberly A Walls 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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Kimberly A Walls, MSN,FNP
9416 W Colter St,
Glendale, AZ 85305-3373
Ph: () - | Kimberly A Walls, MSN,FNP
19829 N 27th Ave,
Phoenix, AZ 85027-4001
Ph: (623) 516-4400 |
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