Deborah Dawn Mckibben, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" physician in Marion, Kansas. Her current practice location is
535 S Freeborn St, Marion, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 382-2177.
Deborah Dawn Mckibben is licensed to practice in Kansas (license number 53-83374-111) 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 1245077627.
Physician's Profile
| Full Name | Deborah Dawn Mckibben |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 535 S Freeborn St, Marion, Kansas |
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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: 1245077627
- Provider Enumeration Date: 07/11/2024
- Last Update Date: 10/22/2024
Medicare PECOS Information:
- PECOS PAC ID: 7810436136
- Enrollment ID: I20240829003201
Medical Identifiers
Medical identifiers for Deborah Dawn Mckibben such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245077627 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208D00000X | General Practice | 53-83374-111 (Kansas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 53-83374-111 (Kansas) | 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. Deborah Dawn Mckibben allows following entities to bill medicare on her behalf.
| Entity Name | Hospital District No 1 Marion Co |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144355793
PECOS PAC ID: 7517923196
Enrollment ID: O20050428000824 |
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| Entity Name | Hospital District No 1 Marion Co |
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| Entity Type | Part A Provider - Critical Access Hospital |
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| Entity Identifiers | NPI Number: 1326087966
PECOS PAC ID: 7517923196
Enrollment ID: O20061104000413 |
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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. Deborah Dawn Mckibben 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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Deborah Dawn Mckibben, FNP-BC
3928 Neosho Rd,
Cummings, KS 66016-9063
Ph: (913) 370-5333 | Deborah Dawn Mckibben, FNP-BC
535 S Freeborn St,
Marion, KS 66861-1256
Ph: (620) 382-2177 |
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