Kimberly Hankins, NP is a medicare enrolled "Nurse Practitioner" physician in Carbondale, Illinois. Her current practice location is
409 W Oak St, Carbondale, Illinois. You can reach out to her office (for appointments etc.) via phone at
(618) 529-4455.
Kimberly Hankins is licensed to practice in Illinois (license number 209017268) 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 1497255947.
Physician's Profile
| Full Name | Kimberly Hankins |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 409 W Oak St, Carbondale, Illinois |
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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: 1497255947
- Provider Enumeration Date: 02/20/2018
- Last Update Date: 12/09/2019
Medicare PECOS Information:
- PECOS PAC ID: 6305100330
- Enrollment ID: I20180427001702
Medical Identifiers
Medical identifiers for Kimberly Hankins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497255947 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207RI0011X | Internal Medicine - Interventional Cardiology | 209017268 (Illinois) | Secondary |
| 363L00000X | Nurse Practitioner | 209017268 (Illinois) | 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 Hankins allows following entities to bill medicare on her behalf.
| Entity Name | Integrated Health Of Southern Illinois Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982738274
PECOS PAC ID: 2365401122
Enrollment ID: O20041007000123 |
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| Entity Name | Southern Illinois Medical Services Nfp |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770656837
PECOS PAC ID: 3678677390
Enrollment ID: O20070404000595 |
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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 Hankins 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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Kimberly Hankins, NP
409 W Oak St,
Carbondale, IL 62901-1464
Ph: (618) 529-4455 | Kimberly Hankins, NP
409 W Oak St,
Carbondale, IL 62901-1464
Ph: (618) 529-4455 |
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