Mrs Kimberly Randall Booker, CNM, WHNP-BC - Medicare Advanced Practice Midwife in Reidsville, NC

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Mrs Kimberly Randall Booker, CNM, WHNP-BC is a medicare enrolled "Advanced Practice Midwife" in Reidsville, North Carolina. Her current practice location is 520 Maple Ave, Suite C, Reidsville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 342-6063.

Mrs Kimberly Randall Booker is licensed to practice in North Carolina (license number 522) 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 1013359934.

Contact Information

Mrs Kimberly Randall Booker, CNM, WHNP-BC
520 Maple Ave, Suite C,
Reidsville, NC 27320-4652
(336) 342-6063
(336) 342-6066

Map and Direction




Provider's Profile

Full NameMrs Kimberly Randall Booker
GenderFemale
SpecialityAdvanced Practice Midwife
Location520 Maple Ave, Reidsville, North Carolina
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1013359934
  • Provider Enumeration Date: 07/19/2013
  • Last Update Date: 08/11/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 8426292707
  • Enrollment ID: I20130926000792

Medical Identifiers

Medical identifiers for Mrs Kimberly Randall Booker such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013359934NPI-NPPES
1799GOtherBCBS
Q44206AOtherMEDICARE INDIVIDUAL PTAN LINKED TO FACULTY PRACTICE GROUP
1013359934MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LW0102XNurse Practitioner - Women's Health BOO104379455 (North Carolina)Secondary
367A00000XAdvanced Practice Midwife 522 (North Carolina)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 Randall Booker allows following entities to bill medicare on her behalf.
Entity NameThe Moses H Cone Memorial Hospital Operating Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356372064
PECOS PAC ID: 6204744600
Enrollment ID: O20031124000541
Entity NameMoses Cone Physician Services, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093953127
PECOS PAC ID: 4284782210
Enrollment ID: O20090501000202

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 Randall Booker 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
Mrs Kimberly Randall Booker, CNM, WHNP-BC
3871 Vance Street Ext,
Reidsville, NC 27320-8873

Ph: (336) 613-0904		Mrs Kimberly Randall Booker, CNM, WHNP-BC
520 Maple Ave, Suite C,
Reidsville, NC 27320-4652

Ph: (336) 342-6063

Reviews and Comments


Advanced Practice Midwife Nurses in Reidsville, NC

Frances Hough Cresenzo-dishmon, CNM
Advanced Practice Midwife
Medicare: Accepting Medicare Assignments
Practice Location: 520 Maple Ave, Suite C, Reidsville, NC 27320
Phone: 336-342-6063    Fax: 336-342-6066

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).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.