Elizabeth Ann Kimball, APN FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Fairview, Oklahoma. 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 Fairview Regional Medical Center Authority and her current practice location is
523 E State Rd, Fairview, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 227-3721.
Elizabeth Ann Kimball is licensed to practice in Oklahoma (license number 0112653) 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 1225465768.
Provider's Profile
| Full Name | Elizabeth Ann Kimball |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 11 Years |
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| Location | 523 E State Rd, Fairview, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Elizabeth Ann Kimball graduated from nursing school in 2013
NPI Data:
- NPI Number: 1225465768
- Provider Enumeration Date: 09/30/2013
- Last Update Date: 06/10/2014
Medicare PECOS Information:
- PECOS PAC ID: 9133420896
- Enrollment ID: I20151222001883
Medical Identifiers
Medical identifiers for Elizabeth Ann Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1225465768 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 0112653 (Oklahoma) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Fairview Regional Medical Center Authority | 4183943186 | 2 |
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. Elizabeth Ann Kimball allows following entities to bill medicare on her behalf.
| Entity Name | Fairview Regional Medical Center Authority |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316981657
PECOS PAC ID: 4183943186
Enrollment ID: O20150501000163 |
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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. Elizabeth Ann Kimball 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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Elizabeth Ann Kimball, APN FNP-BC
523 E State Rd,
Fairview, OK 73737-1453
Ph: (580) 227-3721 | Elizabeth Ann Kimball, APN FNP-BC
523 E State Rd,
Fairview, OK 73737-1453
Ph: (580) 227-3721 |
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