Kimberly A Southam-gerow, NURSE PRACTITIONER in Richmond, VA

Kimberly A Southam-gerow, NURSE PRACTITIONER is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Richmond, Virginia. She went to Virginia Commonwealth University, School Of Medicine and graduated in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Dominion Behavioral Healthcare and her current practice location is 2305 N Parham Rd Ste 3, Richmond, Virginia. You can reach out to her office (for appointments etc.) via phone at (804) 263-4365.

Kimberly A Southam-gerow is licensed to practice in Virginia (license number 0024178278) 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 1598316424.

Contact Information

	Kimberly A Southam-gerow, NURSE PRACTITIONER
	2305 N Parham Rd Ste 3, Richmond, VA 23229-3156
	(804) 263-4365
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly A Southam-gerow
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	2305 N Parham Rd Ste 3, Richmond, Virginia
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:

Kimberly A Southam-gerow attended and graduated from Virginia Commonwealth University, School Of Medicine in 2019

NPI Data:

NPI Number: 1598316424
Provider Enumeration Date: 09/23/2019
Last Update Date: 08/20/2020

Medicare PECOS Information:

PECOS PAC ID: 6901226190
Enrollment ID: I20201008001672

Medical Identifiers

Medical identifiers for Kimberly A Southam-gerow such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598316424	NPI	-	NPPES
0024178278	Other	VA	BOARD OF NURSING

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	0024178278 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Dominion Behavioral Healthcare	6709803570	19

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. Kimberly A Southam-gerow allows following entities to bill medicare on her behalf.

Entity Name	Dominion Behavioral Healthcare
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043262215 PECOS PAC ID: 6709803570 Enrollment ID: O20051031000975

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. Kimberly A Southam-gerow 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
Kimberly A Southam-gerow, NURSE PRACTITIONER 1215 Warren Ave, Richmond, VA 23227-3739 Ph: (804) 263-3265	Kimberly A Southam-gerow, NURSE PRACTITIONER 2305 N Parham Rd Ste 3, Richmond, VA 23229-3156 Ph: (804) 263-4365

Reviews and Comments

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Tabitha Tram Smithers, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7200 Glen Forest Dr Ste 106, Richmond, VA 23226 Phone: 804-495-0053

Kimberly A Southam-gerow, NURSE PRACTITIONER - Medicare Nurse Practitioner in Richmond, VA