Kimberley Sue Fahle, in Tucson, AZ - Medicare Nurse Practitioner

Kimberley Sue Fahle, is a medicare enrolled "Nurse Practitioner - Family" in Tucson, Arizona. Her current practice location is 2675 N Wyatt Dr, Tucson, Arizona. You can reach out to her office (for appointments etc.) via phone at (937) 935-7461.

Kimberley Sue Fahle is licensed to practice in Arizona (license number 279734) 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 1356052161.

Contact Information

	Kimberley Sue Fahle,
	2675 N Wyatt Dr, Tucson, AZ 85712-6107
	(937) 935-7461
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberley Sue Fahle
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2675 N Wyatt Dr, Tucson, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356052161
Provider Enumeration Date: 12/13/2022
Last Update Date: 12/13/2022

Medicare PECOS Information:

PECOS PAC ID: 7618323882
Enrollment ID: I20231024002032

Medical Identifiers

Medical identifiers for Kimberley Sue Fahle such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356052161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	279734 (Arizona)	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 Sue Fahle allows following entities to bill medicare on her behalf.

Entity Name	Grace Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215603964 PECOS PAC ID: 7012306624 Enrollment ID: O20211118003211

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 Sue Fahle 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 Sue Fahle, 2675 N Wyatt Dr, Tucson, AZ 85712-6107 Ph: (937) 935-7461	Kimberley Sue Fahle, 2675 N Wyatt Dr, Tucson, AZ 85712-6107 Ph: (937) 935-7461

Reviews and Comments

Nurse Practitioner Nurses in Tucson, AZ

Patricia Hiebert, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3870 W River Rd Ste 126, Tucson, AZ 85741 Phone: 520-219-6616 Fax: 520-742-6187
Emily Snavely De La Rosa, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 707 N Alvernon Way, Ste. 101, Tucson, AZ 85711 Phone: 520-694-1640
Mrs. Hazel Echavez Mercado, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 10975 E White Sage Dr, Tucson, AZ 85747 Phone: 520-203-7531 Fax: 520-437-0390
Mr. Daniel Leon Ross Jr., NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 600 W Orange Grove Rd Unit A16, Tucson, AZ 85704 Phone: 520-909-3844 Fax: 520-308-5511
Mrs. Diana Verdugo, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 620 N Craycroft Rd, Tucson, AZ 85711 Phone: 520-519-8550 Fax: 520-747-3269
Neva Corbell, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1951 N Wilmot Rd, Bldg 4, Tucson, AZ 85712 Phone: 520-318-1114 Fax: 520-318-4693
Holly Marie Hill, MSN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2802 E District St, Tucson, AZ 85714 Phone: 520-584-5820 Fax: 520-514-1514

Kimberley Sue Fahle, - Medicare Nurse Practitioner in Tucson, AZ