Kimberly Bolin, APRN in Williamsburg, KY - Medicare Nurse Practitioner

Kimberly Bolin, APRN is a medicare enrolled "Nurse Practitioner - Family" in Williamsburg, Kentucky. Her current practice location is 3080 N Highway 25 W, Williamsburg, Kentucky. You can reach out to her office (for appointments etc.) via phone at (606) 825-5010.

Kimberly Bolin is licensed to practice in Kentucky (license number 3017007) 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 1710631338.

Contact Information

	Kimberly Bolin, APRN
	3080 N Highway 25 W, Williamsburg, KY 40769-8602
	(606) 825-5010
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Bolin
Gender	Female
Speciality	Nurse Practitioner - Family
Location	3080 N Highway 25 W, Williamsburg, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1710631338
Provider Enumeration Date: 02/11/2022
Last Update Date: 11/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4789062720
Enrollment ID: I20220603001802

Medical Identifiers

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

Identifier	Type	State	Issuer
1710631338	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	1069552 (Texas)	Secondary
363LF0000X	Nurse Practitioner - Family	3017007 (Kentucky)	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 Bolin allows following entities to bill medicare on her behalf.

Entity Name	Rockcastle County Hospital, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1104890714 PECOS PAC ID: 6103727433 Enrollment ID: O20040119000523

Entity Name	Shc Medical Partners Of Kentucky, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417132614 PECOS PAC ID: 1153406301 Enrollment ID: O20080312000024

Entity Name	Brock Medical, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023379815 PECOS PAC ID: 9830354638 Enrollment ID: O20120628000567

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 Bolin 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 Bolin, APRN 3080 N Highway 25 W, Williamsburg, KY 40769-8602 Ph: (606) 825-5010	Kimberly Bolin, APRN 3080 N Highway 25 W, Williamsburg, KY 40769-8602 Ph: (606) 825-5010

Reviews and Comments

Nurse Practitioner Nurses in Williamsburg, KY

Mr. Allen Darrell Probus Jr., FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 896 S Highway 25w, Williamsburg, KY 40769 Phone: 606-376-9700
Lisa Grubb, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2932 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-515-6051
Mrs. Sheila Denise Lambdin, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 475 N Highway 25 W Ste 100, Williamsburg, KY 40769 Phone: 606-549-2930 Fax: 606-549-3036
Rebecca Banfield, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 896 S Highway 25 W, Williamsburg, KY 40769 Phone: 606-515-6124
Marcie Leigh Johnson, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 686 S Us-25w W, Williamsburg, KY 40769 Phone: 606-549-5052 Fax: 606-549-2718
Keith David Mcdaniel, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 65 N Highway 25 W, Williamsburg, KY 40769 Phone: 606-386-4559
Jennifer Marie Emery, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 6178 College Station Dr, Williamsburg, KY 40769 Phone: 855-791-7199

Kimberly Bolin, APRN - Medicare Nurse Practitioner in Williamsburg, KY