Kenneth Bradley Chipman, CNP in Farmington, NM

Kenneth Bradley Chipman, CNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Farmington, New Mexico. His current practice location is 4801 N Butler Ave, Farmington, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 327-0002.

Kenneth Bradley Chipman is licensed to practice in New Mexico (license number 80060) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1497593693.

Contact Information

	Kenneth Bradley Chipman, CNP
	4801 N Butler Ave, Farmington, NM 87401-6002
	(505) 327-0002
	Not Available

Map and Direction

Provider's Profile

Full Name	Kenneth Bradley Chipman
Gender	Male
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	4801 N Butler Ave, Farmington, New Mexico
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497593693
Provider Enumeration Date: 07/20/2024
Last Update Date: 07/20/2024

Medicare PECOS Information:

PECOS PAC ID: 9335688241
Enrollment ID: I20240823000020

Medical Identifiers

Medical identifiers for Kenneth Bradley Chipman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497593693	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	80060 (New Mexico)	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. Kenneth Bradley Chipman allows following entities to bill medicare on his behalf.

Entity Name	San Juan Health And Wellness Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568998029 PECOS PAC ID: 4284905308 Enrollment ID: O20170809000144

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. Kenneth Bradley Chipman 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
Kenneth Bradley Chipman, CNP 3500 Alta Vista Dr, Farmington, NM 87402-8810 Ph: (505) 573-2723	Kenneth Bradley Chipman, CNP 4801 N Butler Ave, Farmington, NM 87401-6002 Ph: (505) 327-0002

Reviews and Comments

Nurse Practitioner Nurses in Farmington, NM

Erin Tinker, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave Ste 102, Farmington, NM 87401 Phone: 505-609-6700 Fax: 505-609-6700
Jennifer Lizabeth Manganello, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Schwartz Ave, Suite 101, Farmington, NM 87401 Phone: 505-609-6770 Fax: 505-609-6775
Anariza Grush, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796
Bethany Lynn Jones, AGPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1001 W Broadway, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-599-9351
Shailah Bevan, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1001 W Broadway Ste D&e, Farmington, NM 87401 Phone: 505-327-4796 Fax: 505-443-8335
Jovite A Larroy, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1001 W Broadway Ste E, Farmington, NM 87401 Phone: 505-327-4796
Clay Church, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 W Maple St, Farmington, NM 87401 Phone: 505-609-2000

Kenneth Bradley Chipman, CNP - Medicare Nurse Practitioner in Farmington, NM