Kimberly J Halla, FNP-C in Gastonia, NC - Medicare Nurse Practitioner

Kimberly J Halla, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Gastonia, North Carolina. Her current practice location is 2555 Court Dr Ste 450, Gastonia, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 671-7652.

Kimberly J Halla is licensed to practice in North Carolina (license number 5015763) 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 1427406719.

Contact Information

	Kimberly J Halla, FNP-C
	2555 Court Dr Ste 450, Gastonia, NC 28054-2191
	(704) 671-7652
	(704) 671-7656

Map and Direction

Provider's Profile

Full Name	Kimberly J Halla
Gender	Female
Speciality	Nurse Practitioner - Family
Location	2555 Court Dr Ste 450, Gastonia, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1427406719
Provider Enumeration Date: 05/27/2016
Last Update Date: 08/19/2022

Medicare PECOS Information:

PECOS PAC ID: 9436444908
Enrollment ID: I20160823000948

Medical Identifiers

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

Identifier	Type	State	Issuer
1427406719	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	AP8551 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	5015763 (North Carolina)	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 J Halla allows following entities to bill medicare on her behalf.

Entity Name	Honorhealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1801092564 PECOS PAC ID: 1456258607 Enrollment ID: O20031216000350

Entity Name	Honorhealth Ambulatory
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1407050917 PECOS PAC ID: 5991603110 Enrollment ID: O20071005000449

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 J Halla 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 J Halla, FNP-C Po Box 744786, Atlanta, GA 30374-4786 Ph: (704) 834-2450	Kimberly J Halla, FNP-C 2555 Court Dr Ste 450, Gastonia, NC 28054-2191 Ph: (704) 671-7652

Reviews and Comments

Nurse Practitioner Nurses in Gastonia, NC

Ieachia T. Morris, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1337 E Garrison Blvd, Gastonia, NC 28054 Phone: 704-671-5313
Jonathan Labayo Desamero, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3715 Union Rd, Gastonia, NC 28056 Phone: 704-854-8202
Susanna M Shepard, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 609 N Highland St, Gastonia, NC 28052 Phone: 704-853-5294
Cecily Robin Smith, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 815 Cox Rd, Gastonia, NC 28054 Phone: 704-865-1700 Fax: 704-865-7948
Mrs. Shannon Bumgardner Standish, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2544 Court Dr Ste F, Gastonia, NC 28054 Phone: 704-864-8302 Fax: 704-864-0228
Nora Davis Paysour, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2525 Court Dr, Gastonia, NC 28054 Phone: 704-834-2000 Fax: 704-834-3274
Mrs. Cecilia Apau-kese, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1282 Audubon Dr, Gastonia, NC 28054 Phone: 704-718-4150

Kimberly J Halla, FNP-C - Medicare Nurse Practitioner in Gastonia, NC