Kimberly Zoellick, FNP is a medicare enrolled "Pediatrics" in Palos Park, Illinois. Her current practice location is
8100 W 119th St Ste 400, Palos Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 361-3300.
Kimberly Zoellick is licensed to practice in Illinois (license number 209.016380) 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 1104344431.
Provider's Profile
Full Name | Kimberly Zoellick |
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Gender | Female |
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Speciality | Pediatrics |
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Location | 8100 W 119th St Ste 400, Palos Park, Illinois |
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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: 1104344431
- Provider Enumeration Date: 09/07/2017
- Last Update Date: 11/13/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294009387
- Enrollment ID: I20170928002171
Medical Identifiers
Medical identifiers for Kimberly Zoellick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104344431 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 209016380 (Illinois) | Secondary |
208000000X | Pediatrics | 209.016380 (Illinois) | 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 Zoellick allows following entities to bill medicare on her behalf.
Entity Name | Pcc Community Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1871516799 PECOS PAC ID: 1557270139 Enrollment ID: O20040206000415 |
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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 Zoellick 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 Zoellick, FNP 8100 W 119th St Ste 400, Palos Park, IL 60464-3080 Ph: (708) 361-3300 | Kimberly Zoellick, FNP 8100 W 119th St Ste 400, Palos Park, IL 60464-3080 Ph: (708) 361-3300 |
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