Supatha Kimble Peters, FNP-C in Fort Eustis, VA

Supatha Kimble Peters, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Fort Eustis, Virginia. Her current practice location is 576 Jefferson Ave, Fort Eustis, Virginia. You can reach out to her office (for appointments etc.) via phone at (757) 314-7500.

Supatha Kimble Peters is licensed to practice in Virginia (license number 0024175296) 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 1861984445.

Contact Information

	Supatha Kimble Peters, FNP-C
	576 Jefferson Ave, Fort Eustis, VA 23604-1373
	(757) 314-7500
	Not Available

Map and Direction

Provider's Profile

Full Name	Supatha Kimble Peters
Gender	Female
Speciality	Nurse Practitioner - Family
Location	576 Jefferson Ave, Fort Eustis, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1861984445
Provider Enumeration Date: 05/31/2018
Last Update Date: 11/19/2024

Medicare PECOS Information:

PECOS PAC ID: 9032641931
Enrollment ID: I20241016004194

Medical Identifiers

Medical identifiers for Supatha Kimble Peters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1861984445	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024175296 (Virginia)	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. Supatha Kimble Peters allows following entities to bill medicare on her behalf.

Entity Name	Roanoke Valley Healthcare Partners Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619274446 PECOS PAC ID: 0143490326 Enrollment ID: O20110825000335

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. Supatha Kimble Peters 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
Supatha Kimble Peters, FNP-C 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: () -	Supatha Kimble Peters, FNP-C 576 Jefferson Ave, Fort Eustis, VA 23604-1373 Ph: (757) 314-7500

Reviews and Comments

Nurse Practitioner Nurses in Fort Eustis, VA

Mr. Edward Eugene Yackel, MSN,APRN-BC (FNP) Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7527 Fax: 757-314-7661
Mary Thisbe Quilab, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-914-6794
Latosha Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7655
Davenna Mcglone-young, C.F.N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Mcdonald Army Community Health Center, Fort Eustis, VA 23604 Phone: 757-314-7583 Fax: 757-314-7655
Mrs. Rosemary Ann Jackson, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave., Fort Eustis, VA 23604 Phone: 757-314-7500 Fax: 757-314-7854
Ms. Ann Elizabeth Shoemaker, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7543
Dr. Johnathan Matthew Taylor, DNP, APRN, NP-C, CEN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 576 Jefferson Ave, Fort Eustis, VA 23604 Phone: 757-314-7654

Supatha Kimble Peters, FNP-C - Medicare Nurse Practitioner in Fort Eustis, VA