Kimberly Rae Stober, FNP in Cottage Grove, OR

Kimberly Rae Stober, FNP is a medicare enrolled "Nurse Practitioner - Family" in Cottage Grove, Oregon. Her current practice location is 1515 Village Dr, Cottage Grove, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 767-5200.

Kimberly Rae Stober is licensed to practice in Oregon (license number 201807160NP-PP) 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 1942781489.

Contact Information

	Kimberly Rae Stober, FNP
	1515 Village Dr, Cottage Grove, OR 97424-9700
	(541) 767-5200
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Rae Stober
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1515 Village Dr, Cottage Grove, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942781489
Provider Enumeration Date: 08/23/2018
Last Update Date: 12/31/2018

Medicare PECOS Information:

PECOS PAC ID: 6204172414
Enrollment ID: I20190109001141

Medical Identifiers

Medical identifiers for Kimberly Rae Stober such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942781489	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	201807160NP-PP (Oregon)	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 Rae Stober allows following entities to bill medicare on her behalf.

Entity Name	Peacehealth
Entity Type	Part A Provider - Critical Access Hospital
Entity Identifiers	NPI Number: 1902892391 PECOS PAC ID: 1254242357 Enrollment ID: O20030922000023

Entity Name	Peacehealth Medical Group Cottage Grove
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780631267 PECOS PAC ID: 9436060530 Enrollment ID: O20040616001333

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 Rae Stober 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 Rae Stober, FNP 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 767-5200	Kimberly Rae Stober, FNP 1515 Village Dr, Cottage Grove, OR 97424-9700 Ph: (541) 767-5200

Reviews and Comments

Nurse Practitioner Nurses in Cottage Grove, OR

Pearl Ann Jobe, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1345 Birch Ave, Cottage Grove, OR 97424 Phone: 541-942-3939 Fax: 541-942-9310
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Jean Langkow, ANP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 Fax: 541-942-6750
Martin Roco, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-640-7625
Mary Ruth, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1445 Gateway Blvd, Cottage Grove, OR 97424 Phone: 541-942-7000 Fax: 541-942-5550
Leandra Gambee, GNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1515 Village Dr, Cottage Grove, OR 97424 Phone: 541-942-6610 Fax: 541-942-0353

Kimberly Rae Stober, FNP - Medicare Nurse Practitioner in Cottage Grove, OR