Kimly A Vault, FNP - Medicare Nurse Practitioner in Dallas, TX

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Kimly A Vault, FNP is a medicare enrolled "Nurse Practitioner - Family" in Dallas, Texas. She graduated from nursing school in 1999 and has 25 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Ucp Physicians Of Central Texas, Pllc, Primamed Physicians, Pllc and her current practice location is 5303 Harry Hines Blvd, Suite 108, Dallas, Texas. You can reach out to her office (for appointments etc.) via phone at (214) 645-2900.

Kimly A Vault is licensed to practice in Texas (license number AP110250) 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 1508811126.

Contact Information

Kimly A Vault, FNP
5303 Harry Hines Blvd, Suite 108,
Dallas, TX 75390-7208
(214) 645-2900
(214) 645-2902

Map and Direction




Provider's Profile

Full NameKimly A Vault
GenderFemale
SpecialityNurse Practitioner
Experience25 Years
Location5303 Harry Hines Blvd, Dallas, Texas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kimly A Vault graduated from nursing school in 1999
  NPI Data:
  • NPI Number: 1508811126
  • Provider Enumeration Date: 05/23/2006
  • Last Update Date: 05/05/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5991854028
  • Enrollment ID: I20090520000620

Medical Identifiers

Medical identifiers for Kimly A Vault such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508811126NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family AP110250 (Texas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Ucp Physicians Of Central Texas, Pllc317369793595
Primamed Physicians, Pllc923402789753

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. Kimly A Vault allows following entities to bill medicare on her behalf.
Entity NamePrimamed Physicians, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164494068
PECOS PAC ID: 9234027897
Enrollment ID: O20040316000446
Entity NameHealthtexas Provider Network
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760488936
PECOS PAC ID: 1355254210
Enrollment ID: O20040727001187
Entity NameMinuteclinic Diagnostic Of Texas Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609076330
PECOS PAC ID: 7416039177
Enrollment ID: O20080204000113
Entity NameUcp Physicians Of Central Texas, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1922289412
PECOS PAC ID: 3173697935
Enrollment ID: O20080729000203
Entity NameNextcare Primary Care Tx Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760875025
PECOS PAC ID: 0840501508
Enrollment ID: O20150622001791

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. Kimly A Vault 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 AddressPractice Location Address
Kimly A Vault, FNP
5303 Harry Hines Blvd, Suite 108,
Dallas, TX 75390-7208

Ph: (214) 645-2900		Kimly A Vault, FNP
5303 Harry Hines Blvd, Suite 108,
Dallas, TX 75390-7208

Ph: (214) 645-2900

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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