Kassie J Simmons, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Chadbourn, North Carolina. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Chadbourn Family Practice Center Pa and her current practice location is
104 E 7th Ave, Chadbourn, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 654-3143.
Kassie J Simmons is licensed to practice in North Carolina (license number 5012971) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1013542315.
Provider's Profile
| Full Name | Kassie J Simmons |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 5 Years |
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| Location | 104 E 7th Ave, Chadbourn, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kassie J Simmons graduated from nursing school in 2019
NPI Data:
- NPI Number: 1013542315
- Provider Enumeration Date: 03/06/2020
- Last Update Date: 09/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294164414
- Enrollment ID: I20200608002748
Medical Identifiers
Medical identifiers for Kassie J Simmons such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1013542315 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 267347 (North Carolina) | Secondary |
| 363L00000X | Nurse Practitioner | 5012971 (North Carolina) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 5012971 (North Carolina) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Chadbourn Family Practice Center Pa | 3971633231 | 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. Kassie J Simmons allows following entities to bill medicare on her behalf.
| Entity Name | Eventus Wholehealth Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20190402002780 |
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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. Kassie J Simmons 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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Kassie J Simmons, FNP-C
4172 Old Us Highway 74,
Chadbourn, NC 28431-7092
Ph: () - | Kassie J Simmons, FNP-C
104 E 7th Ave,
Chadbourn, NC 28431-1402
Ph: (910) 654-3143 |
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