Kimberly Diane Altizer, NP-C is a medicare enrolled "Nurse Practitioner" in Brookneal, Virginia. She graduated from nursing school in 2017 and has 7 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Centra Medical Group Llc and her current practice location is
104 Carolina Ave, Brookneal, Virginia. You can reach out to her office (for appointments etc.) via phone at
(434) 376-2325.
Kimberly Diane Altizer is licensed to practice in Virginia (license number 0024174933) 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 1609397462.
Provider's Profile
| Full Name | Kimberly Diane Altizer |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 7 Years |
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| Location | 104 Carolina Ave, Brookneal, Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Diane Altizer graduated from nursing school in 2017
NPI Data:
- NPI Number: 1609397462
- Provider Enumeration Date: 07/03/2017
- Last Update Date: 07/03/2017
Medicare PECOS Information:
- PECOS PAC ID: 7012275878
- Enrollment ID: I20171227002342
Medical Identifiers
Medical identifiers for Kimberly Diane Altizer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609397462 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 0024174933 (Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Centra Medical Group Llc | 4789606088 | 636 |
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 Diane Altizer allows following entities to bill medicare on her behalf.
| Entity Name | Centra Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1649228966
PECOS PAC ID: 4789606088
Enrollment ID: O20051230000147 |
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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 Diane Altizer 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 |
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Kimberly Diane Altizer, NP-C
443 Carriage Pkwy,
Rustburg, VA 24588-4573
Ph: (434) 907-5614 | Kimberly Diane Altizer, NP-C
104 Carolina Ave,
Brookneal, VA 24528-2643
Ph: (434) 376-2325 |
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