Mrs Kimberly Cathleen Martin, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Kokomo, Mississippi. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Our Lady Of The Angels Hospital Inc and her current practice location is
607 Old Highway 24 W, Kokomo, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 674-0508.
Mrs Kimberly Cathleen Martin is licensed to practice in Mississippi (license number 902882) 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 1316418361.
Provider's Profile
Full Name | Mrs Kimberly Cathleen Martin |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 6 Years |
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Location | 607 Old Highway 24 W, Kokomo, Mississippi |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kimberly Cathleen Martin graduated from nursing school in 2018
NPI Data:
- NPI Number: 1316418361
- Provider Enumeration Date: 12/16/2018
- Last Update Date: 01/22/2021
Medicare PECOS Information:
- PECOS PAC ID: 4183965767
- Enrollment ID: I20190409000107
Medical Identifiers
Medical identifiers for Mrs Kimberly Cathleen Martin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316418361 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 902882 (Mississippi) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Our Lady Of The Angels Hospital Inc | 7012144322 | 71 |
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 Cathleen Martin allows following entities to bill medicare on her behalf.
Entity Name | Our Lady Of The Angels Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912334533 PECOS PAC ID: 7012144322 Enrollment ID: O20140602000869 |
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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. Mrs Kimberly Cathleen Martin 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 Cathleen Martin, PMHNP 607 Old Highway 24 W, Kokomo, MS 39643-5052 Ph: (601) 674-0508 | Mrs Kimberly Cathleen Martin, PMHNP 607 Old Highway 24 W, Kokomo, MS 39643-5052 Ph: (601) 674-0508 |
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