Kimberly Marie Brown, APRN-CNP is a medicare enrolled "Nurse Practitioner - Family" in Hooker, Oklahoma. Her current practice location is
101 Glaydas St, Hooker, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 652-1100.
Kimberly Marie Brown is licensed to practice in Oklahoma (license number 219626) 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 1548090103.
Provider's Profile
| Full Name | Kimberly Marie Brown |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 101 Glaydas St, Hooker, Oklahoma |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1548090103
- Provider Enumeration Date: 08/07/2024
- Last Update Date: 08/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 9739616533
- Enrollment ID: I20241218000090
Medical Identifiers
Medical identifiers for Kimberly Marie Brown such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1548090103 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 219626 (Oklahoma) | 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 Marie Brown allows following entities to bill medicare on her behalf.
| Entity Name | Hooker Medical Clinic, Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1720496904
PECOS PAC ID: 5698097434
Enrollment ID: O20141204001706 |
|---|
| Entity Name | Williams Medical Group Practice Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1346608809
PECOS PAC ID: 3375832157
Enrollment ID: O20181228001300 |
|---|
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 Marie Brown 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 Marie Brown, APRN-CNP
Rr 2 Box 60,
Hooker, OK 73945-9640
Ph: (580) 461-9112 | Kimberly Marie Brown, APRN-CNP
101 Glaydas St,
Hooker, OK 73945
Ph: (580) 652-1100 |
Reviews and Comments