Kimberly Ellen Clash, RN in Palo Alto, CA - Medicare Nurse Practitioner

Kimberly Ellen Clash, RN is a medicare enrolled "Nurse Practitioner" in Palo Alto, California. Her current practice location is 300 Pasteur Dr, #g313, Palo Alto, California. You can reach out to her office (for appointments etc.) via phone at (415) 279-0991.

Kimberly Ellen Clash is licensed to practice in California (license number NP13183) 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 1609903855.

Contact Information

	Kimberly Ellen Clash, RN
	300 Pasteur Dr, #g313, Palo Alto, CA 94304-2203
	(415) 279-0991
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Ellen Clash
Gender	Female
Speciality	Nurse Practitioner
Location	300 Pasteur Dr, Palo Alto, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609903855
Provider Enumeration Date: 02/27/2007
Last Update Date: 04/01/2014

Medicare PECOS Information:

PECOS PAC ID: 1355496068
Enrollment ID: I20090902000152

Medical Identifiers

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

Identifier	Type	State	Issuer
1609903855	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0200X	Registered Nurse - Pediatrics	573759 (California)	Secondary
363L00000X	Nurse Practitioner	NP13183 (California)	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 Ellen Clash allows following entities to bill medicare on her behalf.

Entity Name	Stanford Health Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437292927 PECOS PAC ID: 6709797491 Enrollment ID: O20031124000348

Entity Name	Lpch Medical Group Div Of Lucile
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417907940 PECOS PAC ID: 0840298543 Enrollment ID: O20061113000232

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 Ellen Clash 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 Ellen Clash, RN 300 Pasteur Dr, #g313, Palo Alto, CA 94304-2203 Ph: (415) 279-0991	Kimberly Ellen Clash, RN 300 Pasteur Dr, #g313, Palo Alto, CA 94304-2203 Ph: (415) 279-0991

Reviews and Comments

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Kimberly Ellen Clash, RN - Medicare Nurse Practitioner in Palo Alto, CA