Kimberly Tillman Faulk, AGACNP-BC in Fort Sam Houston, TX

Kimberly Tillman Faulk, AGACNP-BC is a medicare enrolled "Nurse Practitioner - Acute Care" in Fort Sam Houston, Texas. Her current practice location is 3551 Roger Brooke Dr, Fort Sam Houston, Texas. You can reach out to her office (for appointments etc.) via phone at (229) 269-3312.

Kimberly Tillman Faulk is licensed to practice in Georgia (license number 244612) 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 1467053629.

Contact Information

	Kimberly Tillman Faulk, AGACNP-BC
	3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504
	(229) 269-3312
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberly Tillman Faulk
Gender	Female
Speciality	Nurse Practitioner - Acute Care
Location	3551 Roger Brooke Dr, Fort Sam Houston, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467053629
Provider Enumeration Date: 11/04/2020
Last Update Date: 01/14/2025

Medicare PECOS Information:

PECOS PAC ID: 2567806136
Enrollment ID: I20240222001311

Medical Identifiers

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

Identifier	Type	State	Issuer
1467053629	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LA2100X	Nurse Practitioner - Acute Care	244612 (Georgia)	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 Tillman Faulk allows following entities to bill medicare on her behalf.

Entity Name	Cooperative Healthcare Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1417979402 PECOS PAC ID: 9830093640 Enrollment ID: O20031124000222

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 Tillman Faulk 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 Tillman Faulk, AGACNP-BC 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (229) 269-3312	Kimberly Tillman Faulk, AGACNP-BC 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234-4504 Ph: (229) 269-3312

Reviews and Comments

Nurse Practitioner Nurses in Fort Sam Houston, TX

Anastasiya Zemtsova, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-7500
Cathy Darlene Cotton, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-2460
Jessa Perry, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Leanne Putnam, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582
Allen Ward Magnone, ACNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-916-4141
Julia M Ceremuga, CRNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3851 Roger Brooke Dr, Mche-qd (credentials), Fort Sam Houston, TX 78234 Phone: 210-916-5554 Fax: 210-916-2121
Ms. Catherine Deanne Marshall, MSN,APRN-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3551 Roger Brooke Dr, Fort Sam Houston, TX 78234 Phone: 210-539-9582

Kimberly Tillman Faulk, AGACNP-BC - Medicare Nurse Practitioner in Fort Sam Houston, TX