Kimberly K White, FNP-BC in Kankakee, IL - Medicare Nurse Practitioner

Kimberly K White, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Kankakee, Illinois. Her current practice location is 500 W Court St, Kankakee, Illinois. You can reach out to her office (for appointments etc.) via phone at (844) 404-4787.

Kimberly K White is licensed to practice in Illinois (license number 209017690) 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 1588156152.

Contact Information

	Kimberly K White, FNP-BC
	500 W Court St, Kankakee, IL 60901
	(844) 404-4787
	(815) 936-3243

Map and Direction

Provider's Profile

Full Name	Kimberly K White
Gender	Female
Speciality	Nurse Practitioner - Family
Location	500 W Court St, Kankakee, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588156152
Provider Enumeration Date: 05/30/2018
Last Update Date: 06/29/2018

Medicare PECOS Information:

PECOS PAC ID: 6406103480
Enrollment ID: I20180723000702

Medical Identifiers

Medical identifiers for Kimberly K White such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588156152	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	209017690 (Illinois)	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 K White allows following entities to bill medicare on her behalf.

Entity Name	Riverside Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417061193 PECOS PAC ID: 3274434717 Enrollment ID: O20040116000780

Entity Name	Riverside Emergency Physicians Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548969181 PECOS PAC ID: 6204294119 Enrollment ID: O20230626002054

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 K White 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 K White, FNP-BC 500 W Court St, Kankakee, IL 60901-3661 Ph: (844) 404-4787	Kimberly K White, FNP-BC 500 W Court St, Kankakee, IL 60901 Ph: (844) 404-4787

Reviews and Comments

Nurse Practitioner Nurses in Kankakee, IL

Ms. Katherine Marie Leclear, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 350 N Wall St, Kankakee, IL 60901 Phone: 815-933-1671
Judith D Magdziarz, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1701 E Court St, Kankakee, IL 60901 Phone: 815-935-9395 Fax: 815-935-1187
Tracey Samantha Peachey, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 401 N Wall St Ste 102, Kankakee, IL 60901 Phone: 815-928-5090 Fax: 815-928-5079
Kendra G Hansen, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 500 N Wall St, Kankakee, IL 60901 Phone: 844-404-4787 Fax: 815-936-3243
Jolene T Maass, APN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 500 W Court St, Kankakee, IL 60901 Phone: 815-937-2200 Fax: 815-937-2258
Brianna C Neal, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 70 Meadowview Ctr Ste 300, Kankakee, IL 60901 Phone: 815-802-0022 Fax: 815-802-0011
Rebecca Leonhardt, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 550 W. Court Street, Kankakee, IL 60468 Phone: 815-937-2200 Fax: 815-937-2258

Kimberly K White, FNP-BC - Medicare Nurse Practitioner in Kankakee, IL