Mrs Kimberly Dawn Polk, APN - Medicare Nurse Practitioner in Memphis, TN

Mrs Kimberly Dawn Polk, APN is a medicare enrolled "Nurse Practitioner - Family" in Memphis, Tennessee. She graduated from nursing school in 2009 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Office Of Internal Medicine, Pc and her current practice location is 1325 Eastmoreland Ave, Ste 550, Memphis, Tennessee. You can reach out to her office (for appointments etc.) via phone at (901) 726-0843.

Mrs Kimberly Dawn Polk is licensed to practice in Tennessee (license number 14737) 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 1730411059.

Contact Information

Mrs Kimberly Dawn Polk, APN
1325 Eastmoreland Ave, Ste 550,
Memphis, TN 38104-7507
(901) 726-0843
(901) 278-2695

Map and Direction




Provider's Profile

Full NameMrs Kimberly Dawn Polk
GenderFemale
SpecialityNurse Practitioner
Experience15 Years
Location1325 Eastmoreland Ave, Memphis, Tennessee
Accepts Medicare AssignmentsYes. 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 Dawn Polk graduated from nursing school in 2009
  NPI Data:
  • NPI Number: 1730411059
  • Provider Enumeration Date: 02/11/2010
  • Last Update Date: 08/21/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 7719017524
  • Enrollment ID: I20100604000510

Medical Identifiers

Medical identifiers for Mrs Kimberly Dawn Polk such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730411059NPI-NPPES
1518648MedicaidTN
P00873632OtherTNRAILROAD MEDICARE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 14737 (Tennessee)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Methodist Healthcare Memphis HospitalsMemphis, TNHospital
Methodist Healthcare - Olive Branch HospitalOlive branch, MSHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Office Of Internal Medicine, Pc51938603859

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 Polk allows following entities to bill medicare on her behalf.
Entity NameOffice Of Internal Medicine, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1679776678
PECOS PAC ID: 5193860385
Enrollment ID: O20100226000157

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 Polk 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 AddressPractice Location Address
Mrs Kimberly Dawn Polk, APN
Po Box 1000 Dept 941,
Memphis, TN 38101-0941

Ph: (901) 726-0843
Mrs Kimberly Dawn Polk, APN
1325 Eastmoreland Ave, Ste 550,
Memphis, TN 38104-7507

Ph: (901) 726-0843

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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