Kimberly Coghlan Agent, FNP-C in Carthage, MS

Kimberly Coghlan Agent, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Carthage, Mississippi. She graduated from nursing school in 2010 and has 14 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Premier Medical Group Of Mississippi Llc and her current practice location is 407 S Valley St, Carthage, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 298-0333.

Kimberly Coghlan Agent is licensed to practice in Mississippi (license number R870206) 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 1871805820.

Contact Information

	Kimberly Coghlan Agent, FNP-C
	407 S Valley St, Carthage, MS 39051-4051
	(601) 298-0333
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Coghlan Agent
Gender	Female
Speciality	Nurse Practitioner
Experience	14 Years
Location	407 S Valley St, Carthage, Mississippi
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 Coghlan Agent graduated from nursing school in 2010

NPI Data:

NPI Number: 1871805820
Provider Enumeration Date: 07/07/2010
Last Update Date: 12/09/2013

Medicare PECOS Information:

PECOS PAC ID: 9537353297
Enrollment ID: I20101027000689

Medical Identifiers

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

Identifier	Type	State	Issuer
1871805820	NPI	-	NPPES
00150271	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	R870206 (Mississippi)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sta Home Health And Hospice	Carthage, MS	Home health agency
Mississippi Homecare Of Jackson	Jackson, MS	Home health agency
Baptist Medical Center-leake	Carthage, MS	Hospital
Mississippi Baptist Medical Center	Jackson, MS	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Premier Medical Group Of Mississippi Llc	8729973623	25

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 Coghlan Agent allows following entities to bill medicare on her behalf.

Entity Name	Premier Medical Group Of Mississippi Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790827038 PECOS PAC ID: 8729973623 Enrollment ID: O20040219000254

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 Coghlan Agent 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 Coghlan Agent, FNP-C 864 Wilson Dr, Suite C, Ridgeland, MS 39157-4512 Ph: (601) 206-6100	Kimberly Coghlan Agent, FNP-C 407 S Valley St, Carthage, MS 39051-4051 Ph: (601) 298-0333

Reviews and Comments

Nurse Practitioner Nurses in Carthage, MS

Mrs. Tommie K Jones, C.F.N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 310 Ellis St, Carthage, MS 39051 Phone: 601-267-1480 Fax: 601-253-0176
Mrs. April Mclellan, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 303 Ellis St, Carthage, MS 39051 Phone: 601-267-0544
Ronnie Keith Brown, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Highway 16 E, Carthage, MS 39051 Phone: 601-253-0173 Fax: 601-346-2352
Michelle S Atkinson, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1930 N Pearl St, Carthage, MS 39051 Phone: 601-267-8368 Fax: 601-267-6639
Mrs. Teresa Ivey Schweitzer, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1100 Highway 16 E, Carthage, MS 39051 Phone: 601-267-1470
Ms. Yvonne Danae Camper, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 303 Ellis St, Carthage, MS 39051 Phone: 601-855-5287
Mrs. Crystal Howell Martin, C-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 407 S Valley St, Carthage, MS 39051 Phone: 601-298-0333 Fax: 601-298-0797

Kimberly Coghlan Agent, FNP-C - Medicare Nurse Practitioner in Carthage, MS