Kimberlyn N Johnson-ruise, FNP-C in Kennesaw, GA

Kimberlyn N Johnson-ruise, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Kennesaw, Georgia. Her current practice location is 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, Georgia. You can reach out to her office (for appointments etc.) via phone at (770) 514-5401.

Kimberlyn N Johnson-ruise is licensed to practice in Georgia (license number RN183331) 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 1134514185.

Contact Information

	Kimberlyn N Johnson-ruise, FNP-C
	750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144
	(770) 514-5401
	Not Available

Map and Direction

Provider's Profile

Full Name	Kimberlyn N Johnson-ruise
Gender	Female
Speciality	Nurse Practitioner - Family
Location	750 Townpark Lane, Kennesaw, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1134514185
Provider Enumeration Date: 04/06/2015
Last Update Date: 02/20/2017

Medicare PECOS Information:

PECOS PAC ID: 4880905959
Enrollment ID: I20150624001599

Medical Identifiers

Medical identifiers for Kimberlyn N Johnson-ruise such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1134514185	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN183331 (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. Kimberlyn N Johnson-ruise allows following entities to bill medicare on her behalf.

Entity Name	The Southeast Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370

Entity Name	Tlc Of Georgia Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750677241 PECOS PAC ID: 5496924490 Enrollment ID: O20110809000175

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. Kimberlyn N Johnson-ruise 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
Kimberlyn N Johnson-ruise, FNP-C 3495 Piedmont Road, Ne, Nine Piedmont Center, Atlanta, GA 30305 Ph: (404) 504-5678	Kimberlyn N Johnson-ruise, FNP-C 750 Townpark Lane, Kaiser Permanente Townpark Comprehensive Medical Center, Kennesaw, GA 30144 Ph: (770) 514-5401

Reviews and Comments

Nurse Practitioner Nurses in Kennesaw, GA

Lisa Vivienne Poling, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1000 Chastain Rd Nw, Kennesaw, GA 30144 Phone: 678-797-2844 Fax: 678-797-2827
Mrs. Quyen Le Ta, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2628 Myrtlewood Ln Nw, Kennesaw, GA 30144 Phone: 404-324-9413
Ms. Tanya S Wilcox, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1770 Dennis Kemp Ln Nw, Kennesaw, GA 30152 Phone: 770-515-9000
Mrs. Martricia Meshonna Turner, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3805 Cherokee St Nw, Kennesaw, GA 30144 Phone: 770-426-5666 Fax: 770-426-6205
Ms. Stacey Levison, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2782 Cobb Pkwy Nw, Kennesaw, GA 30152 Phone: 770-590-8181
Ms. Kimberly Noel Johnson, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1180 Ernest W Barrett Pkwy Nw # 102b, Kennesaw, GA 30144 Phone: 678-354-2273
Nilomee Patel, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2851 Cobb Pkwy Nw Ste 107, Kennesaw, GA 30152 Phone: 770-738-7560

Kimberlyn N Johnson-ruise, FNP-C - Medicare Nurse Practitioner in Kennesaw, GA