Kimberly Ann Ison, - Medicare Nurse Practitioner in Dearborn, MI

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Kimberly Ann Ison, is a medicare enrolled "Nurse Practitioner - Family" in Dearborn, Michigan. Her current practice location is 25325 Ford Rd Ste 200, Dearborn, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 887-7774.

Kimberly Ann Ison is licensed to practice in Michigan (license number 4704303316) 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 1215654710.

Contact Information

Kimberly Ann Ison,
25325 Ford Rd Ste 200,
Dearborn, MI 48128-1086
(313) 887-7774
Not Available

Map and Direction




Provider's Profile

Full NameKimberly Ann Ison
GenderFemale
SpecialityNurse Practitioner - Family
Location25325 Ford Rd Ste 200, Dearborn, Michigan
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1215654710
  • Provider Enumeration Date: 10/25/2022
  • Last Update Date: 10/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4486025491
  • Enrollment ID: I20230130000324

Medical Identifiers

Medical identifiers for Kimberly Ann Ison such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215654710NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 4704303316 (Michigan)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 Ann Ison allows following entities to bill medicare on her behalf.
Entity NameFaith Internal Medicine Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568184570
PECOS PAC ID: 3779959127
Enrollment ID: O20221026002025
Entity NameFaith Urgent Care Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790407716
PECOS PAC ID: 0244606606
Enrollment ID: O20221026002500
Entity NameVitality Visiting Physicians Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073230876
PECOS PAC ID: 2961870969
Enrollment ID: O20221123000751
Entity NameOmt Mi Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1801506381
PECOS PAC ID: 7911376900
Enrollment ID: O20221214001140

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 Ann Ison 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 AddressPractice Location Address
Kimberly Ann Ison,
400 Plymouth Rd Apt T4,
Plymouth, MI 48170-1470

Ph: (734) 589-7274		Kimberly Ann Ison,
25325 Ford Rd Ste 200,
Dearborn, MI 48128-1086

Ph: (313) 887-7774

Reviews and Comments


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Robin Wawersik,
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Practice Location: 18181 Oakwood Blvd Ste 410, Dearborn, MI 48124
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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.