Kimberly M Bushrow, PA-C is a medicare enrolled "Physician Assistant" in Woodville, Ohio. She graduated from nursing school in 1999 and has 26 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Toledo Clinic Incorporated, Toledo Clinic Pllc, Toledo Clinic Incorporated, Toledo Clinic Pllc and her current practice location is
1100 W Main St, Woodville, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 724-5820.
Kimberly M Bushrow is licensed to practice in Ohio (license number 50001455) 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 1154319820.
Provider's Profile
| Full Name | Kimberly M Bushrow |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Experience | 26 Years |
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| Location | 1100 W Main St, Woodville, Ohio |
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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 M Bushrow graduated from nursing school in 1999
NPI Data:
- NPI Number: 1154319820
- Provider Enumeration Date: 10/07/2005
- Last Update Date: 06/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 7810935236
- Enrollment ID: I20050418000519
Medical Identifiers
Medical identifiers for Kimberly M Bushrow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1154319820 | NPI | - | NPPES |
| 0084436 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363A00000X | Physician Assistant | 50001455 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Toledo Clinic Incorporated | 5698673382 | 231 |
| Toledo Clinic Pllc | 8426585142 | 11 |
| Toledo Clinic Incorporated | 5698673382 | 231 |
| Toledo Clinic Pllc | 8426585142 | 11 |
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 M Bushrow 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 M Bushrow, PA-C
4235 Secor Rd,
Toledo, OH 43623-4231
Ph: (419) 473-3561 | Kimberly M Bushrow, PA-C
1100 W Main St,
Woodville, OH 43469-9723
Ph: (419) 724-5820 |
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