Kimberly Nicole Cook, FNP in Tustin, CA - Medicare Nurse Practitioner

Kimberly Nicole Cook, FNP is a medicare enrolled "Nurse Practitioner - Family" in Tustin, California. Her current practice location is 1 Hope Dr, Tustin, California. You can reach out to her office (for appointments etc.) via phone at (714) 247-0300.

Kimberly Nicole Cook is licensed to practice in California (license number 19091) 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 1831423896.

Contact Information

	Kimberly Nicole Cook, FNP
	1 Hope Dr, Tustin, CA 92782-0221
	(714) 247-0300
	(714) 259-0843

Map and Direction

Provider's Profile

Full Name	Kimberly Nicole Cook
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1 Hope Dr, Tustin, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831423896
Provider Enumeration Date: 09/23/2009
Last Update Date: 09/23/2009

Medicare PECOS Information:

PECOS PAC ID: 1850571167
Enrollment ID: I20110203000541

Medical Identifiers

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

Identifier	Type	State	Issuer
1831423896	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	19091 (California)	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 Nicole Cook allows following entities to bill medicare on her behalf.

Entity Name	Providence Medical Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285890624 PECOS PAC ID: 8921993205 Enrollment ID: O20040216001346

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 Nicole Cook 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 Nicole Cook, FNP 1 Hope Dr, Tustin, CA 92782-0221 Ph: (714) 247-0300	Kimberly Nicole Cook, FNP 1 Hope Dr, Tustin, CA 92782-0221 Ph: (714) 247-0300

Reviews and Comments

Nurse Practitioner Nurses in Tustin, CA

Mr. Michael Sean Kelly, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 17601 17th St Ste 120, Tustin, CA 92780 Phone: 714-769-6090
Mrs. Nicole Ninofranco Alcantara, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14642 Newport Avenue Suite 200, Tustin, CA 92780 Phone: 714-669-4466
Nicole Rolle Noche, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 661 W 1st St Ste G, Tustin, CA 92780 Phone: 714-665-9890
Sandra Garcia, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14642 Newport Ave Ste 101, Tustin, CA 92780 Phone: 714-352-5800
Aishah Mandeel, NURSE PRACTITIONER Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14971 Holt Ave, Tustin, CA 92780 Phone: 949-356-7676
Jonathan Ramonty Chhean, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1 Hope Dr, Tustin, CA 92782 Phone: 714-247-0300 Fax: 714-259-1598
Amanda Joy Hall, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1451 Irvine Blvd, Tustin, CA 92780 Phone: 714-838-8878

Kimberly Nicole Cook, FNP - Medicare Nurse Practitioner in Tustin, CA