Mrs Kimball Jane-marie Sargent, MSN, PMHCNS-BC is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" provider in Fuquay Varina, North Carolina. She went to University Of North Carolina At Chapel Hill School Of Medicine and graduated in 1995 and has 30 years of diverse experience with area of expertise as Certified Clinical Nurse Specialist (cns). Her current practice location is
7155 Sunset Lake Rd, Fuquay Varina, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(919) 838-0804.
Mrs Kimball Jane-marie Sargent is licensed to practice in North Carolina (license number 0261495-01) 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 1174570808.
Healthcare Provider's Profile
| Full Name | Mrs Kimball Jane-marie Sargent |
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| Gender | Female |
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| Speciality | Certified Clinical Nurse Specialist (cns) |
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| Experience | 30 Years |
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| Location | 7155 Sunset Lake Rd, Fuquay Varina, North Carolina |
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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 Kimball Jane-marie Sargent attended and graduated from University Of North Carolina At Chapel Hill School Of Medicine in 1995
NPI Data:
- NPI Number: 1174570808
- Provider Enumeration Date: 05/28/2006
- Last Update Date: 01/13/2019
Medicare PECOS Information:
- PECOS PAC ID: 4284804360
- Enrollment ID: I20110829000034
Medical Identifiers
Medical identifiers for Mrs Kimball Jane-marie Sargent such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174570808 | NPI | - | NPPES |
| 10079 | Other | NC | BCBS PROVIDER # |
| 527619 | Other | NC | VALUE OPTIONS MHS # |
| 6004025 | Medicaid | NC | |
| 232289 | Other | NC | COMPSYCH CORP. PROV # |
| C 2802004 | Other | NC | UNITEDAMER.INS.CO. PROV # |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 080028 (North Carolina) | Secondary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 080028 (North Carolina) | Secondary |
| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | 0261495-01 (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 Kimball Jane-marie Sargent allows following entities to bill medicare on her behalf.
| Entity Name | Diverse Wellness Solutions Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912299173
PECOS PAC ID: 9739359811
Enrollment ID: O20110829000020 |
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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 Kimball Jane-marie Sargent 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 |
|---|
Mrs Kimball Jane-marie Sargent, MSN, PMHCNS-BC
7155 Sunset Lake Rd,
Fuquay Varina, NC 27526-8638
Ph: (919) 838-0804 | Mrs Kimball Jane-marie Sargent, MSN, PMHCNS-BC
7155 Sunset Lake Rd,
Fuquay Varina, NC 27526-8638
Ph: (919) 838-0804 |
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