Kimberly D Mathis, NP in Manchester, TN - Medicare Nurse Practitioner

Kimberly D Mathis, NP is a medicare enrolled "Nurse Practitioner" in Manchester, Tennessee. Her current practice location is 1600 Mcarthur Street, Manchester, Tennessee. You can reach out to her office (for appointments etc.) via phone at (931) 723-7950.

Kimberly D Mathis is licensed to practice in Tennessee (license number 5806) 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 1427241421.

Contact Information

	Kimberly D Mathis, NP
	1600 Mcarthur Street, Manchester, TN 37355
	(931) 723-7950
	(931) 723-7815

Map and Direction

Provider's Profile

Full Name	Kimberly D Mathis
Gender	Female
Speciality	Nurse Practitioner
Location	1600 Mcarthur Street, Manchester, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427241421
Provider Enumeration Date: 08/22/2007
Last Update Date: 02/28/2019

Medicare PECOS Information:

PECOS PAC ID: 4486792066
Enrollment ID: I20091119000353

Medical Identifiers

Medical identifiers for Kimberly D Mathis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1427241421	NPI	-	NPPES
1516755	Medicaid	TN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APN0000005806 (Tennessee)	Secondary
363L00000X	Nurse Practitioner	5806 (Tennessee)	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 D Mathis allows following entities to bill medicare on her behalf.

Entity Name	Proxima Centauri, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982972857 PECOS PAC ID: 9436326667 Enrollment ID: O20120111000573

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 D Mathis 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 D Mathis, NP 1600 Mcarthur Street, Manchester, TN 37355 Ph: (931) 723-7950	Kimberly D Mathis, NP 1600 Mcarthur Street, Manchester, TN 37355 Ph: (931) 723-7950

Reviews and Comments

Nurse Practitioner Nurses in Manchester, TN

Vickie Jones, CFNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 585 Interstate Dr, Suite B, Manchester, TN 37355 Phone: 931-728-9000 Fax: 931-728-2726
Katherine Propst, APRN BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 193 Relco Dr, Manchester, TN 37355 Phone: 931-728-3090 Fax: 931-728-3097
Mrs. Dawn Selvage, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1019 Hillsboro Blvd, Manchester, TN 37355 Phone: 931-800-4622
Jennifer Keeley Sears, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 482 Interstate Dr, Manchester, TN 37355 Phone: 931-728-4718 Fax: 931-728-1016
Mrs. Christine Dempsey, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 585 Interstate Dr Ste B, Manchester, TN 37355 Phone: 931-728-9000 Fax: 931-728-2726
Sue Ann Richardson, APRN, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1911 Mcarthur St, Manchester, TN 37355 Phone: 931-968-3142 Fax: 931-968-3148
Elizabeth Field Reinke, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1415 Hillsboro Blvd, Manchester, TN 37355 Phone: 931-954-5605

Kimberly D Mathis, NP - Medicare Nurse Practitioner in Manchester, TN