Kimberly Modena Tatum, NURSE PRACTITIONER in Palestine, TX

Kimberly Modena Tatum, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Palestine, Texas. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Christus Trinity Clinic and her current practice location is 3201 S Loop 256, Palestine, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 723-0330.

Kimberly Modena Tatum is licensed to practice in Texas (license number AP136159) 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 1518479542.

Contact Information

	Kimberly Modena Tatum, NURSE PRACTITIONER
	3201 S Loop 256, Palestine, TX 75801-6901
	(903) 723-0330
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Modena Tatum
Gender	Female
Speciality	Nurse Practitioner
Experience	7 Years
Location	3201 S Loop 256, Palestine, Texas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Modena Tatum graduated from nursing school in 2017

NPI Data:

NPI Number: 1518479542
Provider Enumeration Date: 10/31/2017
Last Update Date: 10/25/2022

Medicare PECOS Information:

PECOS PAC ID: 2769562487
Enrollment ID: I20200211000125

Medical Identifiers

Medical identifiers for Kimberly Modena Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518479542	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	AP136159 (Texas)	Secondary
363L00000X	Nurse Practitioner	9471546 (Florida)	Secondary
363LF0000X	Nurse Practitioner - Family	AP136159 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Mother Frances Hospital	Tyler, TX	Hospital
Christus Mother Frances Hospital- Jacksonville	Jacksonville, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Christus Trinity Clinic	3072426741	1227

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 Modena Tatum allows following entities to bill medicare on her behalf.

Entity Name	Christus Trinity Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285684225 PECOS PAC ID: 3072426741 Enrollment ID: O20031204001091

Entity Name	Mother Frances Hospital Jacksonville
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1952306672 PECOS PAC ID: 5597751024 Enrollment ID: O20040421001092

Entity Name	Senior Psychcare Of Dallas I Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942596903 PECOS PAC ID: 2466625371 Enrollment ID: O20111109000103

Entity Name	Dcs Medical Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285082768 PECOS PAC ID: 0042507600 Enrollment ID: O20160926000390

Entity Name	Integrative Emergency Services Physician Group-houston Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801458708 PECOS PAC ID: 7113258500 Enrollment ID: O20191016002208

Entity Name	Mdtela Professional Limited
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083299101 PECOS PAC ID: 6709293962 Enrollment ID: O20210406000934

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 Modena Tatum 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 Modena Tatum, NURSE PRACTITIONER 3201 S Loop 256, Palestine, TX 75801-6901 Ph: (903) 723-0330	Kimberly Modena Tatum, NURSE PRACTITIONER 3201 S Loop 256, Palestine, TX 75801-6901 Ph: (903) 723-0330

Reviews and Comments

Nurse Practitioner Nurses in Palestine, TX

Mrs. Melissa Marie Cobb, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3201 S Loop 256, Palestine, TX 75801 Phone: 903-723-0600
Natalie Karen Burks, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Willow Creek Pkwy, Suite C, Palestine, TX 75801 Phone: 903-723-8210 Fax: 903-723-8310
Travis Lee Wacha, FNP-BC, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4659 Fm 1990, Palestine, TX 75801 Phone: 903-213-2216 Fax: 903-213-9233
Kimberly Winn, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1021 Fax: 903-731-1265
Tiffany Linn Mcclendon, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-731-1000
Elizabeth George, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2900 S Loop 256, Palestine, TX 75801 Phone: 903-724-9922
Stephanie Lufsey, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 127 Medical Dr, Palestine, TX 75801 Phone: 903-723-3300

Kimberly Modena Tatum, NURSE PRACTITIONER - Medicare Nurse Practitioner in Palestine, TX