Mrs Felicia Desha Kimbrough, FNP BC in Carbondale, IL

Mrs Felicia Desha Kimbrough, FNP BC is a medicare enrolled "Nurse Practitioner" in Carbondale, Illinois. Her current practice location is 1301 E Walnut St Rm J120, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 519-9200.

Mrs Felicia Desha Kimbrough is licensed to practice in Illinois (license number 209007991) 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 1679740708.

Contact Information

	Mrs Felicia Desha Kimbrough, FNP BC
	1301 E Walnut St Rm J120, Carbondale, IL 62901-5004
	(618) 519-9200
	(618) 457-8931

Map and Direction

Provider's Profile

Full Name	Mrs Felicia Desha Kimbrough
Gender	Female
Speciality	Nurse Practitioner
Location	1301 E Walnut St Rm J120, Carbondale, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679740708
Provider Enumeration Date: 05/08/2008
Last Update Date: 08/16/2022

Medicare PECOS Information:

PECOS PAC ID: 2961643408
Enrollment ID: I20130726000176

Medical Identifiers

Medical identifiers for Mrs Felicia Desha Kimbrough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679740708	NPI	-	NPPES
406333266001	Medicaid	IL
370966854002	Medicaid	IL
370966854005	Medicaid	IL
CF3444	Other	IL	MEDICARE RR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	209007991 (Illinois)	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. Mrs Felicia Desha Kimbrough allows following entities to bill medicare on her behalf.

Entity Name	Shawnee Health Service And Development Corp
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639295314 PECOS PAC ID: 1658285671 Enrollment ID: O20031120000454

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. Mrs Felicia Desha Kimbrough 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
Mrs Felicia Desha Kimbrough, FNP BC 109 California St, Carterville, IL 62918-1923 Ph: (618) 985-8221	Mrs Felicia Desha Kimbrough, FNP BC 1301 E Walnut St Rm J120, Carbondale, IL 62901-5004 Ph: (618) 519-9200

Reviews and Comments

Nurse Practitioner Nurses in Carbondale, IL

Whitney Mcguire, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 305 W Jackson St Ste 103, Carbondale, IL 62901 Phone: 618-351-4972 Fax: 618-351-6522
Cynthia Snider, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Ashley Nicole Mitchell, APRN, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Natasha Charlyn Shafer, FNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1340 Cedar Ct Ste 202, Carbondale, IL 62901 Phone: 618-529-7821
Mrs. Jennifer Sue Campos, FNP-BC, CCRN, CMC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 405 W Jackson St, Carbondale, IL 62901 Phone: 618-549-0721
Lindsay B Casolari, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878
Andrea Williams, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2601 W Main St, Carbondale, IL 62901 Phone: 618-549-5361 Fax: 618-351-4878

Mrs Felicia Desha Kimbrough, FNP BC - Medicare Nurse Practitioner in Carbondale, IL