Kimberly Bardall, is a medicare enrolled "Nurse Practitioner" physician in Danville, Pennsylvania. Her current practice location is
100 N Academy Ave, Danville, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 214-4745.
Kimberly Bardall is licensed to practice in Pennsylvania (license number SP030028) 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 1619714516.
Physician's Profile
Full Name | Kimberly Bardall |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Location | 100 N Academy Ave, Danville, Pennsylvania |
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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: 1619714516
- Provider Enumeration Date: 07/09/2024
- Last Update Date: 10/31/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961938485
- Enrollment ID: I20241208000027
Medical Identifiers
Medical identifiers for Kimberly Bardall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619714516 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | SP030028 (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | SP030028 (Pennsylvania) | 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 Bardall allows following entities to bill medicare on her behalf.
Entity Name | Geisinger Clinic |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1366493868 PECOS PAC ID: 5395657001 Enrollment ID: O20040130000518 |
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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 Bardall 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 Bardall, 208 Lower Mulberry St, Danville, PA 17821-1521 Ph: (570) 271-8067 | Kimberly Bardall, 100 N Academy Ave, Danville, PA 17822-0001 Ph: (570) 214-4745 |
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