Dr Kimberly Terese Souffront, FNP in New York, NY

Dr Kimberly Terese Souffront, FNP is a medicare enrolled "Nurse Practitioner - Family" in New York, New York. She graduated from nursing school in 2013 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice North Shore Lij Urgent Care Pc and her current practice location is 1 Gustave L Levy Pl, New York, New York. You can reach out to her office (for appointments etc.) via phone at (516) 884-2876.

Dr Kimberly Terese Souffront is licensed to practice in New York (license number F334682-1) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1093845117.

Contact Information

	Dr Kimberly Terese Souffront, FNP
	1 Gustave L Levy Pl, New York, NY 10029-6504
	(516) 884-2876
	Not Available

Map and Direction

Provider's Profile

Full Name	Dr Kimberly Terese Souffront
Gender	Female
Speciality	Nurse Practitioner
Experience	11 Years
Location	1 Gustave L Levy Pl, New York, New York
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kimberly Terese Souffront graduated from nursing school in 2013

NPI Data:

NPI Number: 1093845117
Provider Enumeration Date: 03/07/2007
Last Update Date: 10/28/2014

Medicare PECOS Information:

PECOS PAC ID: 5294814794
Enrollment ID: I20080508000827

Medical Identifiers

Medical identifiers for Dr Kimberly Terese Souffront such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1093845117	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	F334682-1 (New York)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
North Shore Lij Urgent Care Pc	6002131778	312

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. Dr Kimberly Terese Souffront allows following entities to bill medicare on her behalf.

Entity Name	North Shore Lij Urgent Care Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1679970891 PECOS PAC ID: 6002131778 Enrollment ID: O20150223000060

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. Dr Kimberly Terese Souffront 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
Dr Kimberly Terese Souffront, FNP 1 Gustave L Levy Pl, New York, NY 10029-6504 Ph: (516) 884-2876	Dr Kimberly Terese Souffront, FNP 1 Gustave L Levy Pl, New York, NY 10029-6504 Ph: (516) 884-2876

Reviews and Comments

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Dr Kimberly Terese Souffront, FNP - Medicare Nurse Practitioner in New York, NY