Kimberlyn N Johnson-ruise, FNP-C - Medicare Nurse Practitioner in Kennesaw, GA

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Kimberlyn N Johnson-ruise, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kennesaw, Georgia. Her current practice location is 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 514-5401.

Kimberlyn N Johnson-ruise is licensed to practice in Georgia (license number RN183331) 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 1134514185.

Contact Information

Kimberlyn N Johnson-ruise, FNP-C
750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center,
Kennesaw, GA 30144
(770) 514-5401
Not Available

Map and Direction




Provider's Profile

Full NameKimberlyn N Johnson-ruise
GenderFemale
SpecialityNurse Practitioner - Family
Location750 Townpark Lane, Kennesaw, Georgia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1134514185
  • Provider Enumeration Date: 04/06/2015
  • Last Update Date: 02/20/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 4880905959
  • Enrollment ID: I20150624001599

Medical Identifiers

Medical identifiers for Kimberlyn N Johnson-ruise such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1134514185NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family RN183331 (Georgia)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. Kimberlyn N Johnson-ruise allows following entities to bill medicare on her behalf.
Entity NameThe Southeast Permanente Medical Group
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245266956
PECOS PAC ID: 6204829013
Enrollment ID: O20040407000370
Entity NameTlc Of Georgia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750677241
PECOS PAC ID: 5496924490
Enrollment ID: O20110809000175

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. Kimberlyn N Johnson-ruise 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
Kimberlyn N Johnson-ruise, FNP-C
3495 Piedmont Road, Ne, Nine Piedmont Center,
Atlanta, GA 30305

Ph: (404) 504-5678		Kimberlyn N Johnson-ruise, FNP-C
750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center,
Kennesaw, GA 30144

Ph: (770) 514-5401

Reviews and Comments


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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).

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