Kimberly Jorge, APRN is a medicare enrolled "Nurse Practitioner - Family" in Wales, Massachusetts. Her current practice location is
115 Main St, Wales, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(413) 454-8030.
Kimberly Jorge is licensed to practice in Massachusetts (license number PENDING) 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 1528566569.
Provider's Profile
| Full Name | Kimberly Jorge |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 115 Main St, Wales, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528566569
- Provider Enumeration Date: 01/24/2018
- Last Update Date: 01/24/2018
Medicare PECOS Information:
- PECOS PAC ID: 4082951264
- Enrollment ID: I20190125001153
Medical Identifiers
Medical identifiers for Kimberly Jorge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1528566569 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | PENDING (Massachusetts) | 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 Jorge allows following entities to bill medicare on her behalf.
| Entity Name | Right Choice Health Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457729741
PECOS PAC ID: 5395045827
Enrollment ID: O20151204001511 |
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| Entity Name | Mental Health Association Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285104141
PECOS PAC ID: 6305186784
Enrollment ID: O20190321001439 |
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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 Jorge 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 Jorge, APRN
115 Main St,
Wales, MA 01081-9787
Ph: () - | Kimberly Jorge, APRN
115 Main St,
Wales, MA 01081-9787
Ph: (413) 454-8030 |
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