Ms Michelle K Kimball, ANP-BC is a medicare enrolled "Nurse Practitioner - Adult Health" in Ft. Worth, Texas. Her current practice location is
1300 W Terrell #500, Ft. Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 252-5000.
Ms Michelle K Kimball is licensed to practice in Texas (license number AP107871) 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 1598964009.
Provider's Profile
| Full Name | Ms Michelle K Kimball |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 1300 W Terrell #500, Ft. Worth, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1598964009
- Provider Enumeration Date: 07/13/2007
- Last Update Date: 03/04/2022
Medicare PECOS Information:
- PECOS PAC ID: 3779646831
- Enrollment ID: I20090115000385
Medical Identifiers
Medical identifiers for Ms Michelle K Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1598964009 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LA2200X | Nurse Practitioner - Adult Health | AP107871 (Texas) | 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. Ms Michelle K Kimball allows following entities to bill medicare on her behalf.
| Entity Name | Texas Health Physicians Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114395969
PECOS PAC ID: 4385535954
Enrollment ID: O20040323000759 |
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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. Ms Michelle K 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 |
|---|
Ms Michelle K Kimball, ANP-BC
1300 W. Terrell #500, Consultants In Cardiology, Pa,
Ft. Worth, TX 76104-2810
Ph: (817) 252-5000 | Ms Michelle K Kimball, ANP-BC
1300 W Terrell #500,
Ft. Worth, TX 76104-2810
Ph: (817) 252-5000 |
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