Mrs Kimberly Cathleen Martin, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kokomo, Mississippi. Her current practice location is
607 Old Highway 24 W, Kokomo, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 674-0508.
Mrs Kimberly Cathleen Martin is licensed to practice in Mississippi (license number 902882) 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 1316418361.
Provider's Profile
| Full Name | Mrs Kimberly Cathleen Martin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 607 Old Highway 24 W, Kokomo, Mississippi |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316418361
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 02/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 4183965767
- Enrollment ID: I20190409000107
Medical Identifiers
Medical identifiers for Mrs Kimberly Cathleen Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316418361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 202024 (Louisiana) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 902882 (Mississippi) | 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 Kimberly Cathleen Martin allows following entities to bill medicare on her behalf.
| Entity Name | Our Lady Of The Angels Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
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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 Kimberly Cathleen Martin 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 Kimberly Cathleen Martin, PMHNP 607 Old Highway 24 W, Kokomo, MS 39643-5052 Ph: (601) 674-0508 | Mrs Kimberly Cathleen Martin, PMHNP 607 Old Highway 24 W, Kokomo, MS 39643-5052 Ph: (601) 674-0508 |
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