Kimberley B Walters, NP in Johnson City, TN - Medicare Nurse Practitioner

Kimberley B Walters, NP is a medicare enrolled "Nurse Practitioner - Neonatal" in Johnson City, Tennessee. Her current practice location is 400 N State Of Franklin Rd, Johnson City, Tennessee. You can reach out to her office (for appointments etc.) via phone at (423) 431-6671.

Kimberley B Walters is licensed to practice in Tennessee (license number 96882) 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 1144287517.

Contact Information

	Kimberley B Walters, NP
	400 N State Of Franklin Rd, Johnson City, TN 37604-6035
	(423) 431-6671
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberley B Walters
Gender	Female
Speciality	Nurse Practitioner - Neonatal
Location	400 N State Of Franklin Rd, Johnson City, Tennessee
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1144287517
Provider Enumeration Date: 04/28/2006
Last Update Date: 01/29/2024

Medicare PECOS Information:

PECOS PAC ID: 2365714946
Enrollment ID: I20170816002394

Medical Identifiers

Medical identifiers for Kimberley B Walters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1144287517	NPI	-	NPPES
1520893	Medicaid	TN
05/25/1970	Other		DATE OF BIRTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LN0000X	Nurse Practitioner - Neonatal	96882 (Tennessee)	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. Kimberley B Walters allows following entities to bill medicare on her behalf.

Entity Name	Medical Education Assistance Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235180480 PECOS PAC ID: 3870491269 Enrollment ID: O20040206000795

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. Kimberley B Walters 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
Kimberley B Walters, NP Po Box 699, Mountain Home, TN 37684-0699 Ph: (423) 433-6000	Kimberley B Walters, NP 400 N State Of Franklin Rd, Johnson City, TN 37604-6035 Ph: (423) 431-6671

Reviews and Comments

Nurse Practitioner Nurses in Johnson City, TN

Amber Ramsey, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 119 Boone Ridge Dr, Suite 201, Johnson City, TN 37615 Phone: 423-282-1480 Fax: 423-928-1353
Connie T Rutledge, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 121 Boone Ridge Dr Ste 1004, Johnson City, TN 37615 Phone: 423-794-5988 Fax: 423-232-8583
Charity Helton, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 325 N. State Of Franklin Road, Ground Fl, Johnson City, TN 37604 Phone: 423-439-7320
Meghan Marie Hollier, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1018 Chase Dr, Johnson City, TN 37604 Phone: 423-282-3379 Fax: 423-430-6227
Michael David Smith, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3019 Peoples St # Condo300, Johnson City, TN 37604 Phone: 423-461-2100 Fax: 423-461-2199
Shelly J Mcintosh, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 301 Med Tech Pkwy, Suite 240, Johnson City, TN 37604 Phone: 423-794-5520 Fax: 423-282-0720
Mr. Seth M Mclaughlin, FNP NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 926 W Oakland Ave Ste 208, Johnson City, TN 37604 Phone: 423-952-5300 Fax: 423-402-8557

Kimberley B Walters, NP - Medicare Nurse Practitioner in Johnson City, TN