Kimberly L Ebersol, APRN in Columbia, MO - Medicare Nurse Practitioner

Kimberly L Ebersol, APRN is a medicare enrolled "Nurse Practitioner - Pediatrics" in Columbia, Missouri. Her current practice location is 404 N Keene St, Columbia, Missouri. You can reach out to her office (for appointments etc.) via phone at (573) 882-3961.

Kimberly L Ebersol is licensed to practice in Missouri (license number 123260) 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 1679510390.

Contact Information

	Kimberly L Ebersol, APRN
	404 N Keene St, Columbia, MO 65201-6626
	(573) 882-3961
	(573) 884-4277

Map and Direction

Provider's Profile

Full Name	Kimberly L Ebersol
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	404 N Keene St, Columbia, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1679510390
Provider Enumeration Date: 06/01/2006
Last Update Date: 09/14/2022

Medicare PECOS Information:

PECOS PAC ID: 7618915364
Enrollment ID: I20050422000001

Medical Identifiers

Medical identifiers for Kimberly L Ebersol such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1679510390	NPI	-	NPPES
693696	Other	MO	HEALTHLINK
195637	Other	MO	BLUE SHIELD/BLUE CHOICE
429459506	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363L00000X	Nurse Practitioner	123260 (Missouri)	Secondary
364SP0200X	Clinical Nurse Specialist - Pediatrics	123260 (Missouri)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	123260 (Missouri)	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 L Ebersol allows following entities to bill medicare on her behalf.

Entity Name	The Curators Of The University Of Missouri
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235126921 PECOS PAC ID: 4486759560 Enrollment ID: O20070418000290

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 L Ebersol 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 L Ebersol, APRN Po Box 843966, Kansas City, MO 64184-3966 Ph: (573) 884-3300	Kimberly L Ebersol, APRN 404 N Keene St, Columbia, MO 65201-6626 Ph: (573) 882-3961

Reviews and Comments

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Kimberly L Ebersol, APRN - Medicare Nurse Practitioner in Columbia, MO