Kimberly Clemons, FNP-BC is a medicare enrolled "Clinical Nurse Specialist - Family Health" in Statesboro, Georgia. She graduated from nursing school in 2015 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Southeast Medical Group, P.c. and her current practice location is
1555 Brampton Ave, Statesboro, Georgia. You can reach out to her office (for appointments etc.) via phone at
(912) 480-9444.
Kimberly Clemons is licensed to practice in Georgia (license number RN207330) 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 1396117081.
Provider's Profile
| Full Name | Kimberly Clemons |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 1555 Brampton Ave, Statesboro, Georgia |
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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 Clemons graduated from nursing school in 2015
NPI Data:
- NPI Number: 1396117081
- Provider Enumeration Date: 10/21/2015
- Last Update Date: 06/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052612611
- Enrollment ID: I20151228000171
Medical Identifiers
Medical identifiers for Kimberly Clemons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396117081 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SF0001X | Clinical Nurse Specialist - Family Health | RN207330 (Georgia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Southeast Medical Group, P.c. | 3577559673 | 145 |
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 Clemons allows following entities to bill medicare on her behalf.
| Entity Name | Southeast Medical Group, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1235296054
PECOS PAC ID: 3577559673
Enrollment ID: O20040423000347 |
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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 Clemons 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 Clemons, FNP-BC
1555 Brampton Ave,
Statesboro, GA 30458-0856
Ph: (912) 480-9444 | Kimberly Clemons, FNP-BC
1555 Brampton Ave,
Statesboro, GA 30458-0856
Ph: (912) 480-9444 |
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