Mrs Kim Anderson, FNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in Chicago, Illinois. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is
2845 N Sheridan Road, Suite 907, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(773) 295-0707.
Mrs Kim Anderson is licensed to practice in Illinois (license number 277001265) 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 1841729985.
Healthcare Provider's Profile
| Full Name | Mrs Kim Anderson |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 8 Years |
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| Location | 2845 N Sheridan Road, Chicago, Illinois |
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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:
- Mrs Kim Anderson graduated from medical school in 2017
NPI Data:
- NPI Number: 1841729985
- Provider Enumeration Date: 06/10/2017
- Last Update Date: 04/20/2022
Medicare PECOS Information:
- PECOS PAC ID: 0042582835
- Enrollment ID: I20210311000508
Medical Identifiers
Medical identifiers for Mrs Kim Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841729985 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 832075 (Nevada) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 28194001A (Indiana) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 209017385 (Illinois) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 277001265 (Illinois) | 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 Kim Anderson allows following entities to bill medicare on her behalf.
| Entity Name | Fabian Carbonell Md Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1578767935
PECOS PAC ID: 7416980172
Enrollment ID: O20050913001117 |
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| Entity Name | Paragon Clinical Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1114139946
PECOS PAC ID: 7214034925
Enrollment ID: O20070515000051 |
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| Entity Name | New Leaf Wellness & Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396328183
PECOS PAC ID: 7012303621
Enrollment ID: O20220407002091 |
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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. Mrs Kim Anderson 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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Mrs Kim Anderson, FNP-BC
2845 N Sheridan Road, Suite 907,
Chicago, IL 60657
Ph: (773) 295-0707 | Mrs Kim Anderson, FNP-BC
2845 N Sheridan Road, Suite 907,
Chicago, IL 60657
Ph: (773) 295-0707 |
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