Kimberly Sue Weber, is a medicare enrolled "Nurse Practitioner - Primary Care" physician in Burnsville, Minnesota. Her current practice location is
303 E Nicollet Blvd, Burnsville, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(952) 250-2871.
Kimberly Sue Weber is licensed to practice in Minnesota (license number AG09230115) 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 1568239051.
Physician's Profile
Full Name | Kimberly Sue Weber |
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Gender | Female |
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Speciality | Nurse Practitioner - Primary Care |
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Location | 303 E Nicollet Blvd, Burnsville, Minnesota |
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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: 1568239051
- Provider Enumeration Date: 12/05/2023
- Last Update Date: 12/05/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183068950
- Enrollment ID: I20240220003008
Medical Identifiers
Medical identifiers for Kimberly Sue Weber such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1568239051 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207R00000X | Internal Medicine | AG09230115 (Minnesota) | Secondary |
363LA2200X | Nurse Practitioner - Adult Health | AG09230115 (Minnesota) | Secondary |
363LG0600X | Nurse Practitioner - Gerontology | AG09230115 (Minnesota) | Secondary |
363LP2300X | Nurse Practitioner - Primary Care | AG09230115 (Minnesota) | 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 Sue Weber allows following entities to bill medicare on her behalf.
Entity Name | Fairview Health Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461 |
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Entity Name | Fairview Clinics |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346432218 PECOS PAC ID: 7113830142 Enrollment ID: O20031106000516 |
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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 Sue Weber 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 Sue Weber, 17040 Glenwood Ave, Lakeville, MN 55044-7416 Ph: (952) 250-2871 | Kimberly Sue Weber, 303 E Nicollet Blvd, Burnsville, MN 55337-4522 Ph: (952) 250-2871 |
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