Kevin M Dirksen, APRN-CNP in Celina, OH - Medicare Nurse Practitioner

Kevin M Dirksen, APRN-CNP is a medicare enrolled "Nurse Practitioner" in Celina, Ohio. He graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Jtdm Family Practice Llc, Mercer County Joint Township Community Hospital and his current practice location is 801 Pro Dr Ste D2, Celina, Ohio. You can reach out to his office (for appointments etc.) via phone at (419) 586-6480.

Kevin M Dirksen is licensed to practice in Ohio (license number APRN.CNP.023488) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1053891168.

Contact Information

	Kevin M Dirksen, APRN-CNP
	801 Pro Dr Ste D2, Celina, OH 45822-3307
	(419) 586-6480
	(419) 586-8574

Map and Direction

Provider's Profile

Full Name	Kevin M Dirksen
Gender	Male
Speciality	Nurse Practitioner
Experience	6 Years
Location	801 Pro Dr Ste D2, Celina, Ohio
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kevin M Dirksen graduated from nursing school in 2018

NPI Data:

NPI Number: 1053891168
Provider Enumeration Date: 08/17/2018
Last Update Date: 08/10/2020

Medicare PECOS Information:

PECOS PAC ID: 3577815174
Enrollment ID: I20181009003616

Medical Identifiers

Medical identifiers for Kevin M Dirksen such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053891168	NPI	-	NPPES
0105065	Other	OH	GROUP MEDICAID - JTDM FAMILY PRACTICE, LLC
0313733	Medicaid	OH
9934723	Other	OH	GROUP PTAN - JTDM FAMILY PRACTICE, LLC
H674260	Other	OH	MEDICARE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	APRN.CNP.023488 (Ohio)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Mercer County Joint Township Community Hospital	Coldwater, OH	Hospital
Grand Lake Health System	Saint marys, OH	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Jtdm Family Practice Llc	2163415837	42
Mercer County Joint Township Community Hospital	8820081755	50

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. Kevin M Dirksen allows following entities to bill medicare on his behalf.

Entity Name	Mercer County Joint Township Community Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1497784144 PECOS PAC ID: 8820081755 Enrollment ID: O20040406001632

Entity Name	Jtdm Family Practice Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184652539 PECOS PAC ID: 2163415837 Enrollment ID: O20040407000863

Entity Name	M E D F Physicians Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417992710 PECOS PAC ID: 9133109903 Enrollment ID: O20040722000452

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. Kevin M Dirksen 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
Kevin M Dirksen, APRN-CNP 200 Saint Clair Ave, Saint Marys, OH 45885-2400 Ph: (419) 300-1129	Kevin M Dirksen, APRN-CNP 801 Pro Dr Ste D2, Celina, OH 45822-3307 Ph: (419) 586-6480

Reviews and Comments

Nurse Practitioner Nurses in Celina, OH

Shonda Terrazas, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Pro Dr Ste A, Celina, OH 45822 Phone: 419-586-3113
Sarah Marie Mcdowell, APRN-CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Pro Dr, Celina, OH 45822 Phone: 419-586-3113 Fax: 419-586-6560
Stephanie Stopher, APRN NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 950 S Main St, Celina, OH 45822 Phone: 419-586-9657
Kiersten Renee Martin, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2305 Eaglebrooke Cir, Celina, OH 45822 Phone: 765-748-7546
Nancy Lynn Wolters, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 801 Pro Dr Ste A, Celina, OH 45822 Phone: 419-586-3113
Mrs. Teresa Rose Waite, CPNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 909 E Wayne St Ste 124, Celina, OH 45822 Phone: 419-586-7940

Kevin M Dirksen, APRN-CNP - Medicare Nurse Practitioner in Celina, OH