Tina Kennimer, NP is a medicare enrolled "Nurse Practitioner - Family" in Kennedale, Texas. She graduated from nursing school in 2017 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Exelon Health Management Llc and her current practice location is
1115 Kennedale Sublett Rd, Kennedale, Texas. You can reach out to her office (for appointments etc.) via phone at
(682) 429-2723.
Tina Kennimer is licensed to practice in Texas (license number AP146035) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114549185.
Provider's Profile
| Full Name | Tina Kennimer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 9 Years |
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| Location | 1115 Kennedale Sublett Rd, Kennedale, Texas |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Tina Kennimer graduated from nursing school in 2017
NPI Data:
- NPI Number: 1114549185
- Provider Enumeration Date: 05/13/2020
- Last Update Date: 05/13/2020
Medicare PECOS Information:
- PECOS PAC ID: 1759761257
- Enrollment ID: I20220630000150
Medical Identifiers
Medical identifiers for Tina Kennimer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1114549185 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | AP146035 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Exelon Health Management Llc | 0143704478 | 6 |
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. Tina Kennimer allows following entities to bill medicare on her behalf.
| Entity Name | Exelon Health Management LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124995279
PECOS PAC ID: 0143704478
Enrollment ID: O20260324003451 |
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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. Tina Kennimer 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 |
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Tina Kennimer, NP
1115 Kennedale Sublett Rd,
Kennedale, TX 76060-5821
Ph: (682) 429-2723 | Tina Kennimer, NP
1115 Kennedale Sublett Rd,
Kennedale, TX 76060-5821
Ph: (682) 429-2723 |
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