Kamaldeep Kaur, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" physician in Phoenix, Arizona. Her current practice location is
4120 N. 108th Ave, Ste 116, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(632) 872-1818.
Kamaldeep Kaur is licensed to practice in Arizona (license number 248601) 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 1043809478.
Physician's Profile
| Full Name | Kamaldeep Kaur |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 4120 N. 108th Ave, Phoenix, Arizona |
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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: 1043809478
- Provider Enumeration Date: 01/11/2021
- Last Update Date: 02/06/2025
Medicare PECOS Information:
- PECOS PAC ID: 6103231048
- Enrollment ID: I20210226000931
Medical Identifiers
Medical identifiers for Kamaldeep Kaur such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1043809478 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | 248601 (Arizona) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 248601 (Arizona) | 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. Kamaldeep Kaur allows following entities to bill medicare on her behalf.
| Entity Name | Community Bridges Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558095315
PECOS PAC ID: 2062699721
Enrollment ID: O20110606000388 |
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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. Kamaldeep Kaur 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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Kamaldeep Kaur,
4120 N. 108th Ave, Ste 116,
Phoenix, AZ 85037
Ph: (632) 872-1818 | Kamaldeep Kaur,
4120 N. 108th Ave, Ste 116,
Phoenix, AZ 85037
Ph: (632) 872-1818 |
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