Kim Pekin, CPM, CNM is a medicare enrolled "Advanced Practice Midwife" in Purcellville, Virginia. Her current practice location is
17232 Pickwick Dr, Purcellville, Virginia. You can reach out to her office (for appointments etc.) via phone at
(240) 422-3889.
Kim Pekin is licensed to practice in * (Not Available) (license number ) 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 1578893392.
Provider's Profile
Full Name | Kim Pekin |
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Gender | Female |
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Speciality | Advanced Practice Midwife |
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Location | 17232 Pickwick Dr, Purcellville, Virginia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578893392
- Provider Enumeration Date: 12/29/2009
- Last Update Date: 05/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 5193263614
- Enrollment ID: I20240815001694
Medical Identifiers
Medical identifiers for Kim Pekin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578893392 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
367A00000X | Advanced Practice Midwife | (* (Not Available)) | Primary |
176B00000X | Midwife | 0129000052 (Virginia) | Secondary |
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. Kim Pekin allows following entities to bill medicare on her behalf.
Entity Name | Privia Medical Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013042480 PECOS PAC ID: 4385682061 Enrollment ID: O20050422000298 |
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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. Kim Pekin 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 |
Kim Pekin, CPM, CNM 17232 Pickwick Dr, Purcellville, VA 20132-3100 Ph: (240) 422-3889 | Kim Pekin, CPM, CNM 17232 Pickwick Dr, Purcellville, VA 20132-3100 Ph: (240) 422-3889 |
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