Kimberly Lynn Hauner, NP in Lodi, CA - Medicare Nurse Practitioner

Kimberly Lynn Hauner, NP is a medicare enrolled "Nurse Practitioner - Pediatrics" in Lodi, California. Her current practice location is 1300 W Lodi Ave, Suite P, Lodi, California. You can reach out to her office (for appointments etc.) via phone at (209) 369-7493.

Kimberly Lynn Hauner is licensed to practice in California (license number NP11149) 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 1295791432.

Contact Information

	Kimberly Lynn Hauner, NP
	1300 W Lodi Ave, Suite P, Lodi, CA 95242-3000
	(209) 369-7493
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Lynn Hauner
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	1300 W Lodi Ave, Lodi, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1295791432
Provider Enumeration Date: 04/25/2006
Last Update Date: 05/11/2010

Medicare PECOS Information:

PECOS PAC ID: 1456377142
Enrollment ID: I20051021000448

Medical Identifiers

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

Identifier	Type	State	Issuer
1295791432	NPI	-	NPPES
RN88842	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	NP11149 (California)	Primary
163W00000X	Registered Nurse	RN488842 (California)	Secondary

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 Lynn Hauner allows following entities to bill medicare on her behalf.

Entity Name	Sutter Valley Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669846986 PECOS PAC ID: 9830094515 Enrollment ID: O20090311000335

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 Lynn Hauner 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 Lynn Hauner, NP 600 Coffee Rd, Modesto, CA 95355-4201 Ph: (209) 524-1211	Kimberly Lynn Hauner, NP 1300 W Lodi Ave, Suite P, Lodi, CA 95242-3000 Ph: (209) 369-7493

Reviews and Comments

Nurse Practitioner Nurses in Lodi, CA

Donna Marlane Bennett, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 845 S Fairmont Ave, #8, Lodi, CA 95240 Phone: 209-339-7633
Mrs. Kristina Fortes, FNP, MSN, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 975 S Fairmont Ave, Lodi, CA 95240 Phone: 209-334-3411
Ms. Isabel S. Romena, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 832 S Fairmont Ave, Lodi, CA 95240 Phone: 209-365-9331
Shizu Jennifer Kawai, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700 Fax: 209-370-1737
Mrs. Rosemary Ann Brixie, FAMILY NURSE PRACTIT Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2401 W Turner Rd, Suite 450, Lodi, CA 95242 Phone: 209-370-1700
Tasnim Masood, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 900 S Fairmont Ave, Lodi, CA 95240 Phone: 209-333-2500
Ms. Rena Yvonne Kiraly, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 900 S Fairmont Ave Ste A, Lodi, CA 95240 Phone: 209-333-2500 Fax: 209-333-3377

Kimberly Lynn Hauner, NP - Medicare Nurse Practitioner in Lodi, CA