Kimberly A Robertson, CRNP in Dadeville, AL - Medicare Nurse Practitioner

Kimberly A Robertson, CRNP is a medicare enrolled "Nurse Practitioner" in Dadeville, Alabama. Her current practice location is 301 Mariarden Rd, Suite D, Dadeville, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 825-3280.

Kimberly A Robertson is licensed to practice in Alabama (license number 1-037958) 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 1114929742.

Contact Information

	Kimberly A Robertson, CRNP
	301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254
	(256) 825-3280
	(256) 827-0808

Map and Direction

Provider's Profile

Full Name	Kimberly A Robertson
Gender	Female
Speciality	Nurse Practitioner
Location	301 Mariarden Rd, Dadeville, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114929742
Provider Enumeration Date: 08/12/2005
Last Update Date: 03/08/2012

Medicare PECOS Information:

PECOS PAC ID: 9234125477
Enrollment ID: I20110407000533

Medical Identifiers

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

Identifier	Type	State	Issuer
1114929742	NPI	-	NPPES
540003420	Medicaid	AL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	9199035 (Florida)	Secondary
363L00000X	Nurse Practitioner	1-037958 (Alabama)	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 Robertson allows following entities to bill medicare on her behalf.

Entity Name	Ivy Creek Of Tallapoosa Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932130002 PECOS PAC ID: 8123938719 Enrollment ID: O20031229000288

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 Robertson 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 Robertson, CRNP 301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254 Ph: (256) 825-7871	Kimberly A Robertson, CRNP 301 Mariarden Rd, Suite D, Dadeville, AL 36853-6254 Ph: (256) 825-3280

Reviews and Comments

Nurse Practitioner Nurses in Dadeville, AL

Michael Lance Bevels, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7821
Mrs. Sabrina Colley Davis, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-3272 Fax: 256-825-8578
Cathy Pitts, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 301 Mariarden Rd, Suite D, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-7871
Lori Michelle Mosley, CRNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 201 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7821 Fax: 256-825-3290
Lisa King, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8220 County Road 34, Dadeville, AL 36853 Phone: 256-307-1848
Barbara Wilder, CRNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 Mariarden Rd, Dadeville, AL 36853 Phone: 256-825-7871 Fax: 256-825-5742

Kimberly A Robertson, CRNP - Medicare Nurse Practitioner in Dadeville, AL