Jeri S Kitchen, CNM is a medicare enrolled "Advanced Practice Midwife" in Gallipolis, Ohio. She graduated from nursing school in 2008 and has 17 years of diverse experience with area of expertise as Certified Nurse Midwife (cnm). She is a member of the group practice Holzer Clinic Llc and her current practice location is
100 Jackson Pike, Gallipolis, Ohio. You can reach out to her office (for appointments etc.) via phone at
(740) 446-5381.
Jeri S Kitchen is licensed to practice in Ohio (license number APRN.CNM.10281) 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 1073764775.
Provider's Profile
Full Name | Jeri S Kitchen |
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Gender | Female |
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Speciality | Certified Nurse Midwife (cnm) |
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Experience | 17 Years |
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Location | 100 Jackson Pike, Gallipolis, Ohio |
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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. |
Medical Education and Training:
- Jeri S Kitchen graduated from nursing school in 2008
NPI Data:
- NPI Number: 1073764775
- Provider Enumeration Date: 10/01/2008
- Last Update Date: 10/29/2019
Medicare PECOS Information:
- PECOS PAC ID: 1951461508
- Enrollment ID: I20081129000053
Medical Identifiers
Medical identifiers for Jeri S Kitchen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073764775 | NPI | - | NPPES |
P00725268 | Other | | RAILROAD MEDICARE |
KINM03651 | Other | | MEDICARE |
000000258858 | Other | OH | OHIO MEDICAID UNISON |
310917085200 | Other | OH | OHIO MEDICAID CARESOURCE |
2875376 | Other | OH | OHIO MEDICAID MOLINA |
2875376 | Medicaid | OH | |
3810013407 | Medicaid | WV | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | 156 (West Virginia) | Secondary |
367A00000X | Advanced Practice Midwife | APRN.CNM.10281 (Ohio) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Holzer Clinic Llc | 5890606008 | 264 |
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. Jeri S Kitchen allows following entities to bill medicare on her behalf.
Entity Name | Holzer Clinic Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1508817248 PECOS PAC ID: 5890606008 Enrollment ID: O20031215000746 |
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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. Jeri S Kitchen 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 |
Jeri S Kitchen, CNM 90 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5381 | Jeri S Kitchen, CNM 100 Jackson Pike, Gallipolis, OH 45631-1560 Ph: (740) 446-5381 |
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