Kimberly Calderon, FNP in Marshall, TX - Medicare Nurse Practitioner

Kimberly Calderon, FNP is a medicare enrolled "Nurse Practitioner" in Marshall, Texas. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wallis Dermatology Associates Pllc and her current practice location is 1900 S Washington Ave Ste E, Marshall, Texas. You can reach out to her office (for appointments etc.) via phone at (903) 503-7330.

Kimberly Calderon is licensed to practice in Texas (license number 134399) 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 1538681754.

Contact Information

	Kimberly Calderon, FNP
	1900 S Washington Ave Ste E, Marshall, TX 75670-6845
	(903) 503-7330
	(903) 503-7336

Map and Direction

Provider's Profile

Full Name	Kimberly Calderon
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1900 S Washington Ave Ste E, Marshall, Texas
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 Calderon graduated from nursing school in 2017

NPI Data:

NPI Number: 1538681754
Provider Enumeration Date: 07/10/2017
Last Update Date: 05/04/2022

Medicare PECOS Information:

PECOS PAC ID: 8022374271
Enrollment ID: I20171104000100

Medical Identifiers

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

Identifier	Type	State	Issuer
1538681754	NPI	-	NPPES
377233702	Medicaid	TX

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	134399 (Texas)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Christus Good Shepherd Medical Center	Longview, TX	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wallis Dermatology Associates Pllc	0749440188	9

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 Calderon allows following entities to bill medicare on her behalf.

Entity Name	Wallis Dermatology Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396945234 PECOS PAC ID: 0749440188 Enrollment ID: O20120322000343

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 Calderon 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 Calderon, FNP 3535 N Fourth St Ste 400, Longview, TX 75605-0038 Ph: (903) 757-3881	Kimberly Calderon, FNP 1900 S Washington Ave Ste E, Marshall, TX 75670-6845 Ph: (903) 503-7330

Reviews and Comments

Nurse Practitioner Nurses in Marshall, TX

Oteka Jackson-cenales, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 505 E Travis St Ste 112, Marshall, TX 75670 Phone: 318-393-5407
Stephanie Sue White, APRN, PMHNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1500 W Grand Ave, Marshall, TX 75670 Phone: 903-938-7721 Fax: 903-234-1639
Carla Fulgham, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 300 N Alamo Blvd, Marshall, TX 75670 Phone: 903-927-2824 Fax: 903-927-2880
Veronica Mccoy, R.N, M.S.N., C.F.N.P Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 805 Lindsey Dr, Marshall, TX 75670 Phone: 903-938-1146 Fax: 903-927-1764
Jeremy Scott Utley, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 808 Harper Dr., Marshall, TX 75672 Phone: 903-930-4102
Austin B Davidson, APN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 300 N Alamo Blvd, Marshall, TX 75670 Phone: 903-927-2824 Fax: 903-927-2880
Dr. Britney De La Rosa, DNP, APRN, FNP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3903 Fitzgerald St, Marshall, TX 75672 Phone: 903-934-0287

Kimberly Calderon, FNP - Medicare Nurse Practitioner in Marshall, TX