Kimberly Ann Mccutcheon, NP-C is a medicare enrolled "Nurse Practitioner - Family" in West Carrollton, Ohio. Her current practice location is
115 Elmwood Cir, West Carrollton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 866-3814.
Kimberly Ann Mccutcheon is licensed to practice in Ohio (license number APRN.CNP.0030594) 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 1750032520.
Provider's Profile
Full Name | Kimberly Ann Mccutcheon |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 115 Elmwood Cir, West Carrollton, Ohio |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750032520
- Provider Enumeration Date: 01/13/2022
- Last Update Date: 02/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 0547656266
- Enrollment ID: I20220406001289
Medical Identifiers
Medical identifiers for Kimberly Ann Mccutcheon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750032520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | APRN.CNP.0030594 (Ohio) | 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 Mccutcheon allows following entities to bill medicare on her behalf.
Entity Name | At Your Door Visiting Healthcare Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750760849 PECOS PAC ID: 0042522344 Enrollment ID: O20150629002577 |
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Entity Name | Vepa Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124475504 PECOS PAC ID: 0648561761 Enrollment ID: O20160621001896 |
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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 Ann Mccutcheon 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 Mccutcheon, NP-C 115 Elmwood Cir, West Carrollton, OH 45449-2428 Ph: () - | Kimberly Ann Mccutcheon, NP-C 115 Elmwood Cir, West Carrollton, OH 45449-2428 Ph: (937) 866-3814 |
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