Kimberly Fauke Kakooza, APRN is a medicare enrolled "Nurse Practitioner" in Calumet Park, Illinois. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Midwest Express Care 2 Inc and her current practice location is
12850 S Ashland Ave, Calumet Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 972-7958.
Kimberly Fauke Kakooza is licensed to practice in Illinois (license number 209.018538) 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 1891268991.
Provider's Profile
| Full Name | Kimberly Fauke Kakooza |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 6 Years |
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| Location | 12850 S Ashland Ave, Calumet Park, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Fauke Kakooza graduated from nursing school in 2018
NPI Data:
- NPI Number: 1891268991
- Provider Enumeration Date: 01/10/2019
- Last Update Date: 08/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 8325389729
- Enrollment ID: I20190412000278
Medical Identifiers
Medical identifiers for Kimberly Fauke Kakooza such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1891268991 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363L00000X | Nurse Practitioner | 209.018538 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Midwest Express Care 2 Inc | 0547495467 | 158 |
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 Fauke Kakooza allows following entities to bill medicare on her behalf.
| Entity Name | Midwest Express Care 2 Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548692890
PECOS PAC ID: 0547495467
Enrollment ID: O20131031001375 |
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| Entity Name | New Rose Healthcare Management Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043816515
PECOS PAC ID: 4981010048
Enrollment ID: O20210316000179 |
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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 Fauke Kakooza 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 |
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Kimberly Fauke Kakooza, APRN
40 75th St,
Willowbrook, IL 60527-2325
Ph: (630) 405-8892 | Kimberly Fauke Kakooza, APRN
12850 S Ashland Ave,
Calumet Park, IL 60827-6308
Ph: (708) 972-7958 |
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