Kimberly Brooke Delandtsheer, in Big Bear Lake, CA

Kimberly Brooke Delandtsheer, is a medicare enrolled "Nurse Practitioner - Family" in Big Bear Lake, California. Her current practice location is 42002 Fox Farm Rd, Big Bear Lake, California. You can reach out to her office (for appointments etc.) via phone at (909) 878-8000.

Kimberly Brooke Delandtsheer is licensed to practice in California (license number 95024727) 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 1124711247.

Contact Information

	Kimberly Brooke Delandtsheer,
	42002 Fox Farm Rd, Big Bear Lake, CA 92315-2190
	(909) 878-8000
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Brooke Delandtsheer
Gender	Female
Speciality	Nurse Practitioner - Family
Location	42002 Fox Farm Rd, Big Bear Lake, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124711247
Provider Enumeration Date: 06/02/2023
Last Update Date: 06/02/2023

Medicare PECOS Information:

PECOS PAC ID: 8527581040
Enrollment ID: I20250325003868

Medical Identifiers

Medical identifiers for Kimberly Brooke Delandtsheer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124711247	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	95024727 (California)	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 Brooke Delandtsheer allows following entities to bill medicare on her behalf.

Entity Name	Vvipa Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295126001 PECOS PAC ID: 5092185546 Enrollment ID: O20221228001648

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 Brooke Delandtsheer 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 Brooke Delandtsheer, Po Box 6918, Big Bear Lake, CA 92315-6918 Ph: (909) 878-8000	Kimberly Brooke Delandtsheer, 42002 Fox Farm Rd, Big Bear Lake, CA 92315-2190 Ph: (909) 878-8000

Reviews and Comments

Nurse Practitioner Nurses in Big Bear Lake, CA

Miss Kita Lastrape, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41945 Big Bear Blvd Ste 222, Big Bear Lake, CA 92315 Phone: 909-866-5070
Mrs. Melissa Ann Staricka, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 370 Summit Blvd, Big Bear Lake, CA 92315 Phone: 909-878-8246
Adriana Denise Lopez, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 484 Edgemoor Road, Big Bear Lake, CA 92315 Phone: 909-273-3493
Kelli Gora, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 41870 Garstin Rd., Big Bear Lake, CA 92315 Phone: 909-878-8294
Ms. Tasha Nicole Lowery, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 41870 Garstin Drive, Box 1649, Big Bear Lake, CA 92315 Phone: 909-866-8501
Jamie Davidson, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 41820 Garstin Dr, Big Bear Lake, CA 92315 Phone: 909-878-8246

Kimberly Brooke Delandtsheer, - Medicare Nurse Practitioner in Big Bear Lake, CA