Mrs Kimberly Clough, FNP-C in Palm Coast, FL - Medicare Nurse Practitioner

Mrs Kimberly Clough, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Palm Coast, Florida. Her current practice location is 63 Pine Haven Dr, Palm Coast, Florida. You can reach out to her office (for appointments etc.) via phone at (386) 263-2878.

Mrs Kimberly Clough is licensed to practice in Florida (license number 11005037) 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 1417595646.

Contact Information

	Mrs Kimberly Clough, FNP-C
	63 Pine Haven Dr, Palm Coast, FL 32164-7029
	(386) 263-2878
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Clough
Gender	Female
Speciality	Nurse Practitioner - Family
Location	63 Pine Haven Dr, Palm Coast, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1417595646
Provider Enumeration Date: 12/18/2019
Last Update Date: 08/04/2023

Medicare PECOS Information:

PECOS PAC ID: 7911360672
Enrollment ID: I20230828003705

Medical Identifiers

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

Identifier	Type	State	Issuer
1417595646	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11005037 (Florida)	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 Kimberly Clough allows following entities to bill medicare on her behalf.

Entity Name	Ormond Medical Arts
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1326254962 PECOS PAC ID: 1254222565 Enrollment ID: O20040324000407

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 Clough 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 Clough, FNP-C 63 Pine Haven Dr, Palm Coast, FL 32164-7029 Ph: (386) 263-2878	Mrs Kimberly Clough, FNP-C 63 Pine Haven Dr, Palm Coast, FL 32164-7029 Ph: (386) 263-2878

Reviews and Comments

Nurse Practitioner Nurses in Palm Coast, FL

Lyne Emilie Homeus, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8 Waywell Pl, Palm Coast, FL 32164 Phone: 386-530-1708
Jennifer A Schroeder, ARNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2812, Palm Coast, FL 32164 Phone: 386-586-1860 Fax: 386-586-1861
Vivian Del Carmen Medina, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 14 Office Park Dr Ste 6, Palm Coast, FL 32137 Phone: 407-299-7333
Jennifer Marie Agosto, ACNPC-AG Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 60 Piedmont Dr, Palm Coast, FL 32164 Phone: 305-588-0373
Amanda Vera, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 61 Memorial Medical Pkwy Ste 2815, Palm Coast, FL 32164 Phone: 386-586-1810 Fax: 386-586-1811
Traci Serrano, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 61 Memorial Medical Pkwy Ste 3816, Palm Coast, FL 32164 Phone: 386-586-1720
Mrs. Venus M. Valliere, ARNP BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 264a Palm Coast Pkwy Ne, Palm Coast, FL 32137 Phone: 386-446-5505 Fax: 386-246-3960

Mrs Kimberly Clough, FNP-C - Medicare Nurse Practitioner in Palm Coast, FL