Kimberly June Conaboy, is a medicare enrolled "Nurse Practitioner" in Clarks Green, Pennsylvania. Her current practice location is
102 N Abington Rd Ste 103, Clarks Green, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 586-0246.
Kimberly June Conaboy is licensed to practice in Pennsylvania (license number SP026041) 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 1265169163.
Provider's Profile
| Full Name | Kimberly June Conaboy |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Location | 102 N Abington Rd Ste 103, Clarks Green, Pennsylvania |
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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: 1265169163
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 08/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901282565
- Enrollment ID: I20221005000487
Medical Identifiers
Medical identifiers for Kimberly June Conaboy such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1265169163 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | SP026041 (Pennsylvania) | 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 June Conaboy allows following entities to bill medicare on her behalf.
| Entity Name | Scranton Heart Institute Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134152564
PECOS PAC ID: 5193735231
Enrollment ID: O20060503000454 |
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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 June Conaboy 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 June Conaboy,
102 N Abington Rd,
Clarks Green, PA 18411-2300
Ph: (570) 586-0246 | Kimberly June Conaboy,
102 N Abington Rd Ste 103,
Clarks Green, PA 18411-2326
Ph: (570) 586-0246 |
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