Mrs Alicia Marie Kimura, APRN, FNP in Gilbert, AZ

Mrs Alicia Marie Kimura, APRN, FNP is a medicare enrolled "Nurse Practitioner - Family" in Gilbert, Arizona. Her current practice location is 1760 E Pecos Rd Ste 516b, Gilbert, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 821-3600.

Mrs Alicia Marie Kimura is licensed to practice in Arizona (license number 224149) 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 1821652454.

Contact Information

	Mrs Alicia Marie Kimura, APRN, FNP
	1760 E Pecos Rd Ste 516b, Gilbert, AZ 85295-3205
	(480) 821-3600
	(480) 857-2667

Map and Direction

Provider's Profile

Full Name	Mrs Alicia Marie Kimura
Gender	Female
Speciality	Nurse Practitioner - Family
Location	1760 E Pecos Rd Ste 516b, Gilbert, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821652454
Provider Enumeration Date: 04/29/2019
Last Update Date: 11/13/2023

Medicare PECOS Information:

PECOS PAC ID: 7517293087
Enrollment ID: I20190723000768

Medical Identifiers

Medical identifiers for Mrs Alicia Marie Kimura such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821652454	NPI	-	NPPES
546832	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LX0001X	Nurse Practitioner - Obstetrics & Gynecology	224149 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	224149 (Arizona)	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. Mrs Alicia Marie Kimura allows following entities to bill medicare on her behalf.

Entity Name	Momdoc Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1184780355 PECOS PAC ID: 3375534282 Enrollment ID: O20040520000050

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. Mrs Alicia Marie Kimura 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
Mrs Alicia Marie Kimura, APRN, FNP Po Box 6730, Chandler, AZ 85246-6730 Ph: (480) 821-3600	Mrs Alicia Marie Kimura, APRN, FNP 1760 E Pecos Rd Ste 516b, Gilbert, AZ 85295-3205 Ph: (480) 821-3600

Reviews and Comments

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Mrs Alicia Marie Kimura, APRN, FNP - Medicare Nurse Practitioner in Gilbert, AZ