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

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Kimberly Modena Tatum, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Family" in Palestine, Texas. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Tyler Family Circle Of Care, Tyler Family Circle Of Care and her current practice location is 4002 S Loop 256 Ste A, Palestine, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 731-5030.

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
4002 S Loop 256 Ste A,
Palestine, TX 75801-8492
(903) 731-5030
(903) 731-5037

Map and Direction




Provider's Profile

Full NameKimberly Modena Tatum
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location4002 S Loop 256 Ste A, Palestine, Texas
Accepts Medicare AssignmentsYes. 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: 10/21/2024
  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.
IdentifierTypeStateIssuer
1518479542NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP136159 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tyler Family Circle Of Care458781288827
Tyler Family Circle Of Care458781288827

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 NameChristus Trinity Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285684225
PECOS PAC ID: 3072426741
Enrollment ID: O20031204001091
Entity NameMother Frances Hospital Jacksonville
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952306672
PECOS PAC ID: 5597751024
Enrollment ID: O20040421001092
Entity NameTexas Specialty Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558521179
PECOS PAC ID: 6305901927
Enrollment ID: O20090216000230
Entity NameTyler Family Circle Of Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1144575820
PECOS PAC ID: 4587812888
Enrollment ID: O20120911000666
Entity NameDcs Medical Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285082768
PECOS PAC ID: 0042507600
Enrollment ID: O20160926000390
Entity NameMidsouth Transitions Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790262681
PECOS PAC ID: 8628322831
Enrollment ID: O20181106002557
Entity NameIntegrative Emergency Services Physician Group-houston Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801458708
PECOS PAC ID: 7113258500
Enrollment ID: O20191016002208

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 AddressPractice Location Address
Kimberly Modena Tatum, NURSE PRACTITIONER
4002 S Loop 256 Ste A,
Palestine, TX 75801-8492

Ph: (903) 731-5030		Kimberly Modena Tatum, NURSE PRACTITIONER
4002 S Loop 256 Ste A,
Palestine, TX 75801-8492

Ph: (903) 731-5030

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
Leslie Steadman, MSN, APRN, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4201 S Loop 256, Palestine, TX 75801
Phone: 903-723-8533    
Tania Shinohara, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4002 S Loop 256, Palestine, TX 75801
Phone: 903-731-5030    Fax: 903-731-5037
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: Not Enrolled in Medicare
Practice Location: 2900 S Loop 256, Palestine, TX 75801
Phone: 903-731-1021    Fax: 903-731-1265
Tiffany Linn Mcclendon,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2900 S Loop 256, Palestine, TX 75801
Phone: 903-731-1000    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.