Kimberly Ann Crain, is a medicare enrolled "Nurse Practitioner - Family" physician in Leoma, Tennessee. Her current practice location is
482 Rabbit Trail Rd, Leoma, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(931) 629-1963.
Kimberly Ann Crain is licensed to practice in Tennessee (license number 30640) 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 1871255174.
Physician's Profile
Full Name | Kimberly Ann Crain |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 482 Rabbit Trail Rd, Leoma, Tennessee |
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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: 1871255174
- Provider Enumeration Date: 10/13/2021
- Last Update Date: 10/25/2024
Medicare PECOS Information:
- PECOS PAC ID: 1557737558
- Enrollment ID: I20221017000942
Medical Identifiers
Medical identifiers for Kimberly Ann Crain such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1871255174 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 0000161406 (Tennessee) | Secondary |
363LF0000X | Nurse Practitioner - Family | 30640 (Tennessee) | 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. Kimberly Ann Crain allows following entities to bill medicare on her behalf.
Entity Name | Aligned Medical Center Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467921650 PECOS PAC ID: 8123367356 Enrollment ID: O20190305001796 |
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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. Kimberly Ann Crain 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 |
Kimberly Ann Crain, 482 Rabbit Trail Rd, Leoma, TN 38468-5652 Ph: (931) 629-1963 | Kimberly Ann Crain, 482 Rabbit Trail Rd, Leoma, TN 38468-5652 Ph: (931) 629-1963 |
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