Kim Luciano, APN, C is a medicare enrolled "Nurse Practitioner - Pediatrics" physician in Barnegat, New Jersey. Her current practice location is
249 S Main St Ste 2, Barnegat, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(609) 607-1010.
Kim Luciano is licensed to practice in New Jersey (license number 26NN07311100) 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 1740284496.
Physician's Profile
Full Name | Kim Luciano |
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Gender | Female |
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Speciality | Nurse Practitioner - Pediatrics |
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Location | 249 S Main St Ste 2, Barnegat, New Jersey |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1740284496
- Provider Enumeration Date: 06/10/2005
- Last Update Date: 08/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 1850613076
- Enrollment ID: I20141125001203
Medical Identifiers
Medical identifiers for Kim Luciano such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740284496 | NPI | - | NPPES |
6769004 | Medicaid | NJ | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2080P0214X | Pediatrics - Pediatric Pulmonology | 26NN07311100 (New Jersey) | Secondary |
363LP0200X | Nurse Practitioner - Pediatrics | 26NN07311100 (New Jersey) | 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. Kim Luciano allows following entities to bill medicare on her behalf.
Entity Name | St Josephs Healthcare Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1497791297 PECOS PAC ID: 9739171984 Enrollment ID: O20040330001612 |
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Entity Name | Advocare Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1770538696 PECOS PAC ID: 3678562188 Enrollment ID: O20040510001217 |
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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. Kim Luciano 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 |
Kim Luciano, APN, C 401 Route 73 N Ste 320, Marlton, NJ 08053-3426 Ph: (609) 607-1010 | Kim Luciano, APN, C 249 S Main St Ste 2, Barnegat, NJ 08005-2369 Ph: (609) 607-1010 |
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