Mr Michael John Kimball, NP in Costa Mesa, CA

Mr Michael John Kimball, NP is a medicare enrolled "Nurse Practitioner - Adult Health" in Costa Mesa, California. His current practice location is 2501 Harbor Blvd, Costa Mesa, California. You can reach out to his office (for appointments etc.) via phone at (714) 957-5000.

Mr Michael John Kimball is licensed to practice in California (license number 523970) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1700838646.

Contact Information

	Mr Michael John Kimball, NP
	2501 Harbor Blvd, Costa Mesa, CA 92626-6143
	(714) 957-5000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mr Michael John Kimball
Gender	Male
Speciality	Nurse Practitioner - Adult Health
Location	2501 Harbor Blvd, Costa Mesa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1700838646
Provider Enumeration Date: 05/17/2006
Last Update Date: 03/07/2023

Medicare PECOS Information:

PECOS PAC ID: 6204879778
Enrollment ID: I20050606000767

Medical Identifiers

Medical identifiers for Mr Michael John Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700838646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2200X	Nurse Practitioner - Adult Health	523970 (California)	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. Mr Michael John Kimball allows following entities to bill medicare on his behalf.

Entity Name	State Of California - Department Of Developmental Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154372498 PECOS PAC ID: 4082788732 Enrollment ID: O20081114000496

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. Mr Michael John Kimball 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
Mr Michael John Kimball, NP 1600 9th Street, Room 205 Mailstop 2-3, Sacramento, CA 95814-6414 Ph: (916) 654-2431	Mr Michael John Kimball, NP 2501 Harbor Blvd, Costa Mesa, CA 92626-6143 Ph: (714) 957-5000

Reviews and Comments

Nurse Practitioner Nurses in Costa Mesa, CA

Alexandra Hutchison, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1530 Baker St Ste A, Costa Mesa, CA 92626 Phone: 714-559-5436
Judith Rivera, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 Anton Blvd Fl 11, Costa Mesa, CA 92626 Phone: 623-374-7774 Fax: 855-420-6361
Madison Lucas, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 150 Paularino Ave Ste D182, Costa Mesa, CA 92626 Phone: 866-300-7227
Mrs. Suzanne Clara Larkin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1665 Scenic Ave, Costa Mesa, CA 92626 Phone: 714-436-4444
Rachel Renee Cliser, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 188 E 17th St Ste 101, Costa Mesa, CA 92627 Phone: 949-515-4548
Courtney Proctor, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 601 W 19th St, Costa Mesa, CA 92627 Phone: 714-922-4100
Susan Curtin, RN,MSN,PNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2045 Meyer Pl, Bldg C, Costa Mesa, CA 92627 Phone: 949-515-6730 Fax: 949-515-6727

Mr Michael John Kimball, NP - Medicare Nurse Practitioner in Costa Mesa, CA