Kimberly Roland, NP is a medicare enrolled "Nurse Practitioner - Family" in Cameron, Louisiana. Her current practice location is
114 Leboeuf Rd., Cameron, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(337) 480-7425.
Kimberly Roland is licensed to practice in Louisiana (license number AP083670) 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 1417315193.
Provider's Profile
Full Name | Kimberly Roland |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 114 Leboeuf Rd., Cameron, Louisiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1417315193
- Provider Enumeration Date: 02/09/2016
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941507248
- Enrollment ID: I20160331002446
Medical Identifiers
Medical identifiers for Kimberly Roland such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417315193 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363L00000X | Nurse Practitioner | AP08670 (Louisiana) | Secondary |
363LF0000X | Nurse Practitioner - Family | AP083670 (Louisiana) | 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 Roland allows following entities to bill medicare on her behalf.
Entity Name | Calcasieu Urgent Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1467715490 PECOS PAC ID: 5496908071 Enrollment ID: O20130109000768 |
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Entity Name | Calcasieu Cameron Emergency Physician Group Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1699167478 PECOS PAC ID: 3476871815 Enrollment ID: O20150414002039 |
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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 Roland 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 Roland, NP Po Box 122539 Dept 2539, Dallas, TX 75312-0001 Ph: (337) 494-2921 | Kimberly Roland, NP 114 Leboeuf Rd., Cameron, LA 70631 Ph: (337) 480-7425 |
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