Kimberly Dawn Davis, FNP is a medicare enrolled "Nurse Practitioner - Family" in Beckemeyer, Illinois. She graduated from nursing school in 2022 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Gerio Primary Care Pc and her current practice location is
291 E 2nd St, Beckemeyer, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 484-9030.
Kimberly Dawn Davis is licensed to practice in Illinois (license number 209.029711) 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 1881433233.
Provider's Profile
| Full Name | Kimberly Dawn Davis |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 291 E 2nd St, Beckemeyer, Illinois |
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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 Dawn Davis graduated from nursing school in 2022
NPI Data:
- NPI Number: 1881433233
- Provider Enumeration Date: 05/23/2024
- Last Update Date: 06/19/2024
Medicare PECOS Information:
- PECOS PAC ID: 8325580822
- Enrollment ID: I20240612002164
Medical Identifiers
Medical identifiers for Kimberly Dawn Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881433233 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 209.029711 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Gerio Primary Care Pc | 0749640969 | 11 |
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 Dawn Davis allows following entities to bill medicare on her behalf.
| Entity Name | Gerio Primary Care Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700578846
PECOS PAC ID: 0749640969
Enrollment ID: O20230720000511 |
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| Entity Name | Provider Partners Care Management Lp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013348028
PECOS PAC ID: 9335379270
Enrollment ID: O20250130003855 |
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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 Dawn Davis 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 Dawn Davis, FNP
291 E 2nd St,
Beckemeyer, IL 62219-4202
Ph: (618) 484-9030 | Kimberly Dawn Davis, FNP
291 E 2nd St,
Beckemeyer, IL 62219-4202
Ph: (618) 484-9030 |
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