Mrs Kimberly Dachisen, NP in Newton, NJ - Medicare Nurse Practitioner

Mrs Kimberly Dachisen, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Newton, New Jersey. Her current practice location is 39 Newton Sparta Rd, Newton, New Jersey. You can reach out to her office (for appointments etc.) via phone at (973) 383-9841.

Mrs Kimberly Dachisen is licensed to practice in New Jersey (license number 26NJ01437200) 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 1457917007.

Contact Information

	Mrs Kimberly Dachisen, NP
	39 Newton Sparta Rd, Newton, NJ 07860-2773
	(973) 383-9841
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Dachisen
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	39 Newton Sparta Rd, Newton, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457917007
Provider Enumeration Date: 05/18/2019
Last Update Date: 07/05/2025

Medicare PECOS Information:

PECOS PAC ID: 1850723545
Enrollment ID: I20191119000526

Medical Identifiers

Medical identifiers for Mrs Kimberly Dachisen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457917007	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	344395 (New York)	Secondary
363LF0000X	Nurse Practitioner - Family	26NJ01437200 (New Jersey)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	26NJ01437200 (New Jersey)	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 Dachisen allows following entities to bill medicare on her behalf.

Entity Name	Memorial Pediatric Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750352381 PECOS PAC ID: 1557250958 Enrollment ID: O20040313000033

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 Dachisen 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 Dachisen, NP 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: (973) 383-9841	Mrs Kimberly Dachisen, NP 39 Newton Sparta Rd, Newton, NJ 07860-2773 Ph: (973) 383-9841

Reviews and Comments

Nurse Practitioner Nurses in Newton, NJ

Ms. Lori Bravenboer, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 181 High St, Newton, NJ 07860 Phone: 973-383-9898
Maria L Bazsa, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 222 High St, Suite 205, Newton, NJ 07860 Phone: 973-579-2100 Fax: 973-579-6638
Mrs. Leatrice M Current, APN-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 33 Newton Sparta Rd Ste 1, Newton, NJ 07860 Phone: 973-383-2244 Fax: 973-383-0448
Mrs. Tara Constantino, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 181 High St, Newton, NJ 07860 Phone: 973-383-9898
Theresa Papagna, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 175 High St, Newton, NJ 07860 Phone: 973-579-8541
Mr. Elizalde Legarda Villaruz, APN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1 Slate Hill Rd, Newton, NJ 07860 Phone: 973-383-8865
Kayla Kathleen Poalillo, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 12 Lawrence Rd, Newton, NJ 07860 Phone: 973-948-7595

Mrs Kimberly Dachisen, NP - Medicare Nurse Practitioner in Newton, NJ