Jacquelynne M Kimani, PMHNP in Worcester, MA - Medicare Nurse Practitioner

Jacquelynne M Kimani, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Worcester, Massachusetts. Her current practice location is 40 Jackson St Ste 1050, Worcester, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (774) 420-8961.

Jacquelynne M Kimani is licensed to practice in Massachusetts (license number RN2283682) 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 1043808454.

Contact Information

	Jacquelynne M Kimani, PMHNP
	40 Jackson St Ste 1050, Worcester, MA 01608-2313
	(774) 420-8961
	Not Available

Map and Direction

Provider's Profile

Full Name	Jacquelynne M Kimani
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	40 Jackson St Ste 1050, Worcester, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043808454
Provider Enumeration Date: 01/02/2021
Last Update Date: 12/19/2021

Medicare PECOS Information:

PECOS PAC ID: 8022489228
Enrollment ID: I20230126001574

Medical Identifiers

Medical identifiers for Jacquelynne M Kimani such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043808454	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN2283682 (Massachusetts)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN2283682 (Massachusetts)	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. Jacquelynne M Kimani allows following entities to bill medicare on her behalf.

Entity Name	Raymond Zhou Md Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1831268820 PECOS PAC ID: 6709927551 Enrollment ID: O20091231000089

Entity Name	Behavioral Healthcare Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346397437 PECOS PAC ID: 3779818828 Enrollment ID: O20190711000566

Entity Name	Integrated Psych Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841883873 PECOS PAC ID: 9032512496 Enrollment ID: O20210722000720

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. Jacquelynne M Kimani 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
Jacquelynne M Kimani, PMHNP 40 Jackson St Ste 1050, Worcester, MA 01608-2313 Ph: (774) 420-8961	Jacquelynne M Kimani, PMHNP 40 Jackson St Ste 1050, Worcester, MA 01608-2313 Ph: (774) 420-8961

Reviews and Comments

Nurse Practitioner Nurses in Worcester, MA

Ms. Eileen A. Duhamel, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Department Of Radiology, Worcester, MA 01655 Phone: 508-334-2710
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Kristen M Derosa, NNP-BC, ACNPC-AG Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 416 Belmont St, Worcester, MA 01604 Phone: 508-756-6609
Dr. Laura Marie Knight, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-442-2761
Ms. Colette Julia O'connor, ACNPC-AG Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 55 Lake Ave N, Worcester, MA 01655 Phone: 774-443-7552
Sandra Bellini, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 119 Belmont St, Worcester, MA 01605 Phone: 508-334-6470

Jacquelynne M Kimani, PMHNP - Medicare Nurse Practitioner in Worcester, MA