Mrs Kimberly Kay Beverly, PMHNP-BC in Louisville, KY

Mrs Kimberly Kay Beverly, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Louisville, Kentucky. Her current practice location is 10331 Champion Farms Dr, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at (216) 468-5000.

Mrs Kimberly Kay Beverly is licensed to practice in Kentucky (license number 4007045) 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 1740835164.

Contact Information

	Mrs Kimberly Kay Beverly, PMHNP-BC
	10331 Champion Farms Dr, Louisville, KY 40241-6129
	(216) 468-5000
	(216) 456-8128

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Kay Beverly
Gender	Female
Speciality	Nurse Practitioner - Psychiatric/mental Health
Location	10331 Champion Farms Dr, Louisville, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740835164
Provider Enumeration Date: 08/02/2019
Last Update Date: 10/13/2023

Medicare PECOS Information:

PECOS PAC ID: 0941626964
Enrollment ID: I20200820001324

Medical Identifiers

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

Identifier	Type	State	Issuer
1740835164	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	4007045 (Kentucky)	Primary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	28134347A (Indiana)	Secondary

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 Kay Beverly allows following entities to bill medicare on her behalf.

Entity Name	State Of Indiana Auditor Of State
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700876224 PECOS PAC ID: 1759280118 Enrollment ID: O20040105000564

Entity Name	Centerstone Of Indiana, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992781470 PECOS PAC ID: 9436138427 Enrollment ID: O20040830000711

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 Kay Beverly 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 Kay Beverly, PMHNP-BC 2904 N Rykers Ridge Rd, Madison, IN 47250-7648 Ph: (812) 701-1591	Mrs Kimberly Kay Beverly, PMHNP-BC 10331 Champion Farms Dr, Louisville, KY 40241-6129 Ph: (216) 468-5000

Reviews and Comments

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Mrs Kimberly Kay Beverly, PMHNP-BC - Medicare Nurse Practitioner in Louisville, KY