Ms Kimberley Sue Lee, APRN, FNP-C is a medicare enrolled "Nurse Practitioner - Family" physician in Sarasota, Florida. Her current practice location is
2198 Main St, Sarasota, Florida. You can reach out to her office (for appointments etc.) via phone at
(941) 315-9155.
Ms Kimberley Sue Lee is licensed to practice in Florida (license number APRN11021220) 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 1972223212.
Physician's Profile
| Full Name | Ms Kimberley Sue Lee |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 2198 Main St, Sarasota, Florida |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1972223212
- Provider Enumeration Date: 08/29/2022
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274900691
- Enrollment ID: I20221027001796
Medical Identifiers
Medical identifiers for Ms Kimberley Sue Lee such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1972223212 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 11021220 (Florida) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN11021220 (Florida) | 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. Ms Kimberley Sue Lee allows following entities to bill medicare on her behalf.
| Entity Name | Swallowing Diagnostics Inc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1710954672
PECOS PAC ID: 0244261683
Enrollment ID: O20050825000807 |
|---|
| Entity Name | Shadrick Kralik Md Pa |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1912593203
PECOS PAC ID: 4789097742
Enrollment ID: O20210112001000 |
|---|
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. Ms Kimberley Sue Lee 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 |
|---|
Ms Kimberley Sue Lee, APRN, FNP-C
5302 36th Avenue Cir W,
Bradenton, FL 34209-6034
Ph: (941) 545-4847 | Ms Kimberley Sue Lee, APRN, FNP-C
2198 Main St,
Sarasota, FL 34237-6024
Ph: (941) 315-9155 |
Reviews and Comments