Kimberly A Mitchell, FNP in Glendale, AZ - Medicare Nurse Practitioner

Kimberly A Mitchell, FNP is a medicare enrolled "Nurse Practitioner" in Glendale, Arizona. Her current practice location is 18555 N 79th Ave Ste B108, Glendale, Arizona. You can reach out to her office (for appointments etc.) via phone at (888) 705-8558.

Kimberly A Mitchell is licensed to practice in Arizona (license number 277227) 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 1518699479.

Contact Information

	Kimberly A Mitchell, FNP
	18555 N 79th Ave Ste B108, Glendale, AZ 85308-8372
	(888) 705-8558
	(480) 776-0025

Map and Direction

Provider's Profile

Full Name	Kimberly A Mitchell
Gender	Female
Speciality	Nurse Practitioner
Location	18555 N 79th Ave Ste B108, Glendale, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518699479
Provider Enumeration Date: 06/29/2022
Last Update Date: 12/27/2022

Medicare PECOS Information:

PECOS PAC ID: 9133503014
Enrollment ID: I20220825003127

Medical Identifiers

Medical identifiers for Kimberly A Mitchell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1518699479	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	277227 (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. Kimberly A Mitchell allows following entities to bill medicare on her behalf.

Entity Name	Healthy Outlook Family Medicine Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023161825 PECOS PAC ID: 2466344023 Enrollment ID: O20040327000316

Entity Name	Alliance Medical Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740224054 PECOS PAC ID: 1557374931 Enrollment ID: O20060802000072

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 Mitchell 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 Mitchell, FNP 2145 E Baseline Rd # 101, Tempe, AZ 85283-1503 Ph: (888) 705-8558	Kimberly A Mitchell, FNP 18555 N 79th Ave Ste B108, Glendale, AZ 85308-8372 Ph: (888) 705-8558

Reviews and Comments

Nurse Practitioner Nurses in Glendale, AZ

Mrs. Melanie Ann Nugent, CPNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5310 W Thunderbird Rd Ste 301, Glendale, AZ 85306 Phone: 602-865-4442 Fax: 602-865-4507
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Ruth E Sanders, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5041 N 86th Dr, Glendale, AZ 85305 Phone: 866-389-2727 Fax: 612-659-7101
Kelly Lynn Rauch, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7330 N 99th Ave Ste 325, Glendale, AZ 85307 Phone: 623-882-1292 Fax: 623-882-8184
Emma Louise Keltgen, DNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6975 W Glendale Ave, Glendale, AZ 85303 Phone: 602-243-7277 Fax: 602-286-0808
Joyce Kim, NP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6151-6153 W Olive Ave, Glendale, AZ 85302 Phone: 602-773-5546
Anthony James Shaw, AGACNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7190 W Fleetwood Ln, Glendale, AZ 85303 Phone: 602-568-8381

Kimberly A Mitchell, FNP - Medicare Nurse Practitioner in Glendale, AZ