Kimberly Anne Tatum, NP in Greensboro, NC - Medicare Nurse Practitioner

Kimberly Anne Tatum, NP is a medicare enrolled "Nurse Practitioner" in Greensboro, North Carolina. She graduated from nursing school in 2012 and has 12 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Elizabeth Dewey Md and her current practice location is 4125 Lawndale Dr, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 543-0786.

Kimberly Anne Tatum is licensed to practice in North Carolina (license number 5005656) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1366704488.

Contact Information

	Kimberly Anne Tatum, NP
	4125 Lawndale Dr, Greensboro, NC 27455-1885
	(336) 543-0786
	(336) 234-5411

Map and Direction

Provider's Profile

Full Name	Kimberly Anne Tatum
Gender	Female
Speciality	Nurse Practitioner
Experience	12 Years
Location	4125 Lawndale Dr, Greensboro, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Anne Tatum graduated from nursing school in 2012

NPI Data:

NPI Number: 1366704488
Provider Enumeration Date: 06/14/2012
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5193971646
Enrollment ID: I20120816000006

Medical Identifiers

Medical identifiers for Kimberly Anne Tatum such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1366704488	NPI	-	NPPES
7006143	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	5005656 (North Carolina)	Primary
363LF0000X	Nurse Practitioner - Family	5005656 (North Carolina)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Elizabeth Dewey Md	7416206644	4

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 Anne Tatum allows following entities to bill medicare on her behalf.

Entity Name	Elizabeth Dewey Md
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932652807 PECOS PAC ID: 7416206644 Enrollment ID: O20180822000804

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 Anne Tatum 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 Anne Tatum, NP 219 Juniper Creek Blvd, Pinehurst, NC 28374-6819 Ph: (330) 416-3833	Kimberly Anne Tatum, NP 4125 Lawndale Dr, Greensboro, NC 27455-1885 Ph: (336) 543-0786

Reviews and Comments

Nurse Practitioner Nurses in Greensboro, NC

Spenser Robert Beasley, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 301 E Wendover Ave Ste 311, Greensboro, NC 27401 Phone: 336-272-6161
Mrs. Natalie Metts Stroud, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1002 N Church St Ste 201, Greensboro, NC 27401 Phone: 336-378-0713
Lindsi Ahearn, CPNP-AC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2005 Pisgah Church Rd, Greensboro, NC 27455 Phone: 336-716-9150
Mr. Brian Anthony White, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 445 Dolley Madison Rd Ste 410, Greensboro, NC 27410 Phone: 336-292-1510
Mrs. Mariam Mangu Nantang, PMHNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 603 Dolley Madison Rd Ste 100, Greensboro, NC 27410 Phone: 336-632-3505
Leni Abraham Daniel, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3803 N Elm St, Greensboro, NC 27455 Phone: 919-949-0731
Mrs. Dinah Chebotip Ngetich, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1309 N Elm St, Greensboro, NC 27401 Phone: 336-544-5400

Kimberly Anne Tatum, NP - Medicare Nurse Practitioner in Greensboro, NC