Kimberly Tatum, FNP in Boonville, IN - Medicare Nurse Practitioner

Kimberly Tatum, FNP is a medicare enrolled "Nurse Practitioner - Family" in Boonville, Indiana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Wilson Family Practice, Llc and her current practice location is 899 Aigner Dr, Boonville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 641-0262.

Kimberly Tatum is licensed to practice in Indiana (license number 28180231A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1619517513.

Contact Information

	Kimberly Tatum, FNP
	899 Aigner Dr, Boonville, IN 47601-8473
	(812) 641-0262
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Tatum
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	899 Aigner Dr, Boonville, Indiana
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kimberly Tatum graduated from nursing school in 2019

NPI Data:

NPI Number: 1619517513
Provider Enumeration Date: 01/09/2020
Last Update Date: 07/13/2021

Medicare PECOS Information:

PECOS PAC ID: 7911337050
Enrollment ID: I20200414000448

Medical Identifiers

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

Identifier	Type	State	Issuer
1619517513	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28180231A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Deaconess Hospital Inc	Evansville, IN	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Wilson Family Practice, Llc	5092055491	3

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 Tatum allows following entities to bill medicare on her behalf.

Entity Name	Wilson Family Practice, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588120547 PECOS PAC ID: 5092055491 Enrollment ID: O20190321002069

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 Tatum 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 Tatum, FNP 899 Aigner Dr, Boonville, IN 47601-8473 Ph: (812) 641-0262	Kimberly Tatum, FNP 899 Aigner Dr, Boonville, IN 47601-8473 Ph: (812) 641-0262

Reviews and Comments

Nurse Practitioner Nurses in Boonville, IN

Amanda D Strathmann, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3150 Warrick Dr, Boonville, IN 47601 Phone: 812-858-3355 Fax: 812-858-3350
Mrs. Jennifer M Beckrich, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 899 Aigner Dr, Boonville, IN 47601 Phone: 812-641-0262
Aisha S Havill, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3277 Liberty Blvd, Boonville, IN 47601 Phone: 812-897-8500
Jacqueline Small, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 899 Aigner Dr, Boonville, IN 47601 Phone: 812-641-0262
Hope D Hoeing, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3150 Warrick Dr, Boonville, IN 47601 Phone: 812-450-6430
Jennifer Nicole Hoffman, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1116 Millis Ave Ste 101, Boonville, IN 47601 Phone: 812-897-7107

Kimberly Tatum, FNP - Medicare Nurse Practitioner in Boonville, IN