Kimberly M Clonts, NP is a medicare enrolled "Nurse Practitioner" physician in Denver, Colorado. Her current practice location is
2045 N Franklin St, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at
(303) 338-4545.
Kimberly M Clonts is licensed to practice in Colorado (license number 4468) 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 1760512602.
Physician's Profile
| Full Name | Kimberly M Clonts |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 2045 N Franklin St, Denver, Colorado |
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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: 1760512602
- Provider Enumeration Date: 03/07/2007
- Last Update Date: 06/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 9638250434
- Enrollment ID: I20080118000057
Medical Identifiers
Medical identifiers for Kimberly M Clonts such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760512602 | NPI | - | NPPES |
| 016037 | Other | | KAISER-COMMERCIAL NUMBER |
| 74130056 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 130776 (Colorado) | Secondary |
| 363L00000X | Nurse Practitioner | 4468 (Colorado) | 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 M Clonts allows following entities to bill medicare on her behalf.
| Entity Name | Colorado Permanente Medical Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760599724
PECOS PAC ID: 1254238454
Enrollment ID: O20031216000640 |
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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 M Clonts 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 M Clonts, NP
10350 E Dakota Ave,
Denver, CO 80247-1314
Ph: () - | Kimberly M Clonts, NP
2045 N Franklin St,
Denver, CO 80205-5437
Ph: (303) 338-4545 |
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