Mrs Kimberly Dawn Mitcham, FNP in Baxley, GA - Medicare Nurse Practitioner

Mrs Kimberly Dawn Mitcham, FNP is a medicare enrolled "Nurse Practitioner - Family" in Baxley, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Appling Family Total Healthcare Pc and her current practice location is 950 S Main St Ste 2, Baxley, Georgia. You can reach out to her office (for appointments etc.) via phone at (912) 367-2596.

Mrs Kimberly Dawn Mitcham is licensed to practice in Georgia (license number RN149433NP) 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 1720451297.

Contact Information

	Mrs Kimberly Dawn Mitcham, FNP
	950 S Main St Ste 2, Baxley, GA 31513-0161
	(912) 367-2596
	(912) 367-8706

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Dawn Mitcham
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	950 S Main St Ste 2, Baxley, Georgia
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 Dawn Mitcham graduated from nursing school in 2015

NPI Data:

NPI Number: 1720451297
Provider Enumeration Date: 11/05/2015
Last Update Date: 01/20/2023

Medicare PECOS Information:

PECOS PAC ID: 1153623665
Enrollment ID: I20151230000333

Medical Identifiers

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

Identifier	Type	State	Issuer
1720451297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	RN149433NP (Georgia)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Appling Hospital	Baxley, GA	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Appling Family Total Healthcare Pc	6406014885	3

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 Mitcham allows following entities to bill medicare on her behalf.

Entity Name	Appling Family Total Healthcare Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922378702 PECOS PAC ID: 6406014885 Enrollment ID: O20120215000514

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 Mitcham 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 Mitcham, FNP 950 S Main St Ste 2, Baxley, GA 31513-0161 Ph: (912) 367-2596	Mrs Kimberly Dawn Mitcham, FNP 950 S Main St Ste 2, Baxley, GA 31513-0161 Ph: (912) 367-2596

Reviews and Comments

Nurse Practitioner Nurses in Baxley, GA

Janey B Britt, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 950 S Main St, Suite 1, Baxley, GA 31513 Phone: 912-705-6866 Fax: 912-705-6681
Jennifer Ashley Skinner, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 821 S Main St Ste C, Baxley, GA 31513 Phone: 912-644-5300
Myiesha Sellers Mcfarlin, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 55 Sellers Ln, Baxley, GA 31513 Phone: 912-278-6687
Selina E Revels, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 275 N Main St, Baxley, GA 31513 Phone: 912-785-7022 Fax: 912-705-8010
Paige Tomberlin, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 73 Sw Park Ave Ste C, Baxley, GA 31513 Phone: 912-310-2395
Mrs. Shayla Moore Sellers, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 950 S Main St Ste 2, Baxley, GA 31513 Phone: 912-367-2596
Jessica Marie Alferink, FNP Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 73 Sw Park St, Suite B, Baxley, GA 31513 Phone: 912-705-8050 Fax: 912-705-8051

Mrs Kimberly Dawn Mitcham, FNP - Medicare Nurse Practitioner in Baxley, GA