Mrs Kimberly Ann Couch, CNM, FNP-C in Phoenix, AZ - Medicare Advanced Practice Midwife

Mrs Kimberly Ann Couch, CNM, FNP-C is a medicare enrolled "Advanced Practice Midwife" in Phoenix, Arizona. Her current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 623-1511.

Mrs Kimberly Ann Couch is licensed to practice in Arizona (license number AP0237) 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 1043320088.

Contact Information

	Mrs Kimberly Ann Couch, CNM, FNP-C
	4212 N 16th St, Phoenix, AZ 85016-5319
	(602) 623-1511
	(602) 263-1637

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Ann Couch
Gender	Female
Speciality	Advanced Practice Midwife
Location	4212 N 16th St, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043320088
Provider Enumeration Date: 08/30/2006
Last Update Date: 08/17/2022

Medicare PECOS Information:

PECOS PAC ID: 9830260884
Enrollment ID: I20080919000192

Medical Identifiers

Medical identifiers for Mrs Kimberly Ann Couch such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043320088	NPI	-	NPPES
AZ0143460	Other	AZ	BCBS
472556	Medicaid	AZ

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0102X	Registered Nurse - Maternal Newborn	RN071137 (Arizona)	Secondary
367A00000X	Advanced Practice Midwife	AP0237 (Arizona)	Primary
363LF0000X	Nurse Practitioner - Family	RN071137 (Arizona)	Secondary
363LF0000X	Nurse Practitioner - Family	AP0237 (Arizona)	Secondary

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 Kimberly Ann Couch allows following entities to bill medicare on her behalf.

Entity Name	Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083643738 PECOS PAC ID: 1759290901 Enrollment ID: O20031105000797

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 Kimberly Ann Couch 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 Kimberly Ann Couch, CNM, FNP-C 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 623-1511	Mrs Kimberly Ann Couch, CNM, FNP-C 4212 N 16th St, Phoenix, AZ 85016-5319 Ph: (602) 623-1511

Reviews and Comments

Advanced Practice Midwife Nurses in Phoenix, AZ

Mrs. Anna M Gomez, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 2928 N 18th Pl, Phoenix, AZ 85016 Phone: 602-256-7766 Fax: 602-265-6644
Katherine Sahnas, NP Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 690 Cofco Center Court, Suite 230, Phoenix, AZ 85008 Phone: 602-243-7277 Fax: 602-286-0808
Kalla Carlton, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 8410 W Thomas Rd Ste 134, Phoenix, AZ 85037 Phone: 623-907-2377 Fax: 480-857-2667
Makenzie Bailey, CNM, WHNP-BC Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 1300 N 12th St Ste 620, Phoenix, AZ 85006 Phone: 602-283-3668 Fax: 833-471-4328
Lynnette Casey, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 3660 W Bethany Home Rd, Suite A, Phoenix, AZ 85019 Phone: 602-973-3200 Fax: 602-795-3714
Mrs. Diane Ellen Tinker, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 4212 N 16th St, Phoenix, AZ 85016 Phone: 602-263-1550 Fax: 602-263-1692
Tori N. White, CNM Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 9305 W Thomas Rd Ste 155, Phoenix, AZ 85037 Phone: 623-936-1780 Fax: 623-936-9116

Mrs Kimberly Ann Couch, CNM, FNP-C - Medicare Advanced Practice Midwife in Phoenix, AZ