Kimberly Ermalovich, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in South Point, Ohio. Her current practice location is
1001 4th St E, South Point, Ohio. You can reach out to her office (for appointments etc.) via phone at
(304) 654-9010.
Kimberly Ermalovich is licensed to practice in Kentucky (license number 4028830) 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 1790504371.
Physician's Profile
Full Name | Kimberly Ermalovich |
---|
Gender | Female |
---|
Speciality | Nurse Practitioner - Family |
---|
Location | 1001 4th St E, South Point, Ohio |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1790504371
- Provider Enumeration Date: 10/09/2024
- Last Update Date: 12/05/2024
Medicare PECOS Information:
- PECOS PAC ID: 0749702827
- Enrollment ID: I20250318002365
Medical Identifiers
Medical identifiers for Kimberly Ermalovich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790504371 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207Q00000X | Family Medicine | 4028830 (Kentucky) | Secondary |
363LF0000X | Nurse Practitioner - Family | 4028830 (Kentucky) | 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 Ermalovich allows following entities to bill medicare on her behalf.
Entity Name | Signify Health Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1689158487 PECOS PAC ID: 3274895263 Enrollment ID: O20210209002652 |
---|
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 Ermalovich 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 Ermalovich, FNP 1001 4th St E, South Point, OH 45680-9120 Ph: (304) 654-9010 | Kimberly Ermalovich, FNP 1001 4th St E, South Point, OH 45680-9120 Ph: (304) 654-9010 |
Reviews and Comments