Mrs Kimberly Dawn Calloway, MSN, APRN, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Lexington, Indiana. Her current practice location is
5306 E Blocher Rd, Lexington, Indiana. You can reach out to her office (for appointments etc.) via phone at
(812) 820-6569.
Mrs Kimberly Dawn Calloway is licensed to practice in Indiana (license number 390200000X) 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 1023616125.
Provider's Profile
Full Name | Mrs Kimberly Dawn Calloway |
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Gender | Female |
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Speciality | Nurse Practitioner - Family |
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Location | 5306 E Blocher Rd, Lexington, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1023616125
- Provider Enumeration Date: 10/12/2020
- Last Update Date: 10/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 1951709435
- Enrollment ID: I20250418000310
Medical Identifiers
Medical identifiers for Mrs Kimberly Dawn Calloway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023616125 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 390200000X (Indiana) | 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 Dawn Calloway allows following entities to bill medicare on her behalf.
Entity Name | Lifemd New England Patient Medical Care Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376305847 PECOS PAC ID: 5395270409 Enrollment ID: O20250310002043 |
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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 Dawn Calloway 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 Dawn Calloway, MSN, APRN, FNP-BC 5306 E Blocher Rd, Lexington, IN 47138-8803 Ph: (812) 820-6569 | Mrs Kimberly Dawn Calloway, MSN, APRN, FNP-BC 5306 E Blocher Rd, Lexington, IN 47138-8803 Ph: (812) 820-6569 |
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