Kimberly Moseley Shearin, FNP is a medicare enrolled "Nurse Practitioner - Family" physician in Roanoke Rapids, North Carolina. Her current practice location is
250 Smith Church Road, Roanoke Rapids, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 535-8011.
Kimberly Moseley Shearin is licensed to practice in North Carolina (license number 5004121) 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 1538319991.
Physician's Profile
| Full Name | Kimberly Moseley Shearin |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 250 Smith Church Road, Roanoke Rapids, North Carolina |
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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: 1538319991
- Provider Enumeration Date: 09/23/2008
- Last Update Date: 06/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 7911058417
- Enrollment ID: I20090623000542
Medical Identifiers
Medical identifiers for Kimberly Moseley Shearin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538319991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207PE0004X | Emergency Medicine - Emergency Medical Services | 5004121153260 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5004121 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5004121 (North Carolina) | 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 Moseley Shearin allows following entities to bill medicare on her behalf.
| Entity Name | Halifax Regional Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1992846570
PECOS PAC ID: 5496664062
Enrollment ID: O20031125000253 |
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| Entity Name | Vidant Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477648731
PECOS PAC ID: 0345343893
Enrollment ID: O20070321000445 |
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| Entity Name | Nc Health Care Services, Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629841788
PECOS PAC ID: 9830540558
Enrollment ID: O20240108000613 |
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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 Moseley Shearin 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 Moseley Shearin, FNP
250 Smith Church Road,
Roanoke Rapids, NC 27870-4914
Ph: (252) 535-8011 | Kimberly Moseley Shearin, FNP
250 Smith Church Road,
Roanoke Rapids, NC 27870-4914
Ph: (252) 535-8011 |
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