Kimberly Ann Ison, in Dearborn, MI - Medicare Nurse Practitioner

Kimberly Ann Ison, is a medicare enrolled "Nurse Practitioner - Family" in Dearborn, Michigan. Her current practice location is 25325 Ford Rd Ste 200, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 887-7774.

Kimberly Ann Ison is licensed to practice in Michigan (license number 4704303316) 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 1215654710.

Contact Information

	Kimberly Ann Ison,
	25325 Ford Rd Ste 200, Dearborn, MI 48128-1086
	(313) 887-7774
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Ann Ison
Gender	Female
Speciality	Nurse Practitioner - Family
Location	25325 Ford Rd Ste 200, Dearborn, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1215654710
Provider Enumeration Date: 10/25/2022
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 4486025491
Enrollment ID: I20230130000324

Medical Identifiers

Medical identifiers for Kimberly Ann Ison such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1215654710	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	4704303316 (Michigan)	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. Kimberly Ann Ison allows following entities to bill medicare on her behalf.

Entity Name	Vitality Visiting Physicians Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073230876 PECOS PAC ID: 2961870969 Enrollment ID: O20221123000751

Entity Name	Omt Mi Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801506381 PECOS PAC ID: 7911376900 Enrollment ID: O20221214001140

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 Ann Ison 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
Kimberly Ann Ison, 400 Plymouth Rd Apt T4, Plymouth, MI 48170-1470 Ph: (734) 589-7274	Kimberly Ann Ison, 25325 Ford Rd Ste 200, Dearborn, MI 48128-1086 Ph: (313) 887-7774

Reviews and Comments

Nurse Practitioner Nurses in Dearborn, MI

Robin Wawersik, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 207, Dearborn, MI 48124 Phone: 313-271-5565 Fax: 313-271-1053
Ms. Amira Hachem, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18220 Snow Ave, Dearborn, MI 48124 Phone: 313-502-7755
Sarah Naji, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7863 W Morrow Cir, Dearborn, MI 48126 Phone: 313-445-5271
Rana Mazraani, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 15400 Michigan Ave, Dearborn, MI 48126 Phone: 313-584-3359
Dr. Fatmeh M Barada, DNP, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Ibtihal Alghanimi, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5728 Schaefer Rd Ste 103, Dearborn, MI 48126 Phone: 313-581-8080
Katherine Anne Repp, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124 Phone: 313-982-5430

Kimberly Ann Ison, - Medicare Nurse Practitioner in Dearborn, MI