Mrs Kimberly Michelle Witte, ARNP CS BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Wilder, Kentucky. Her current practice location is
519 Licking Pike, Wilder, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(859) 572-0400.
Mrs Kimberly Michelle Witte is licensed to practice in Kentucky (license number 3002275) 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 1437290822.
Provider's Profile
| Full Name | Mrs Kimberly Michelle Witte |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 519 Licking Pike, Wilder, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437290822
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 10/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082068572
- Enrollment ID: I20231207002290
Medical Identifiers
Medical identifiers for Mrs Kimberly Michelle Witte such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437290822 | NPI | - | NPPES |
| 78001930 | Medicaid | KY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | RN 1070352 (Kentucky) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 3002275 (Kentucky) | 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 Michelle Witte allows following entities to bill medicare on her behalf.
| Entity Name | Mindlift Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013676345
PECOS PAC ID: 1355795840
Enrollment ID: O20231003001149 |
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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 Michelle Witte 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 Michelle Witte, ARNP CS BC
519 Licking Pike,
Wilder, KY 41071
Ph: (859) 572-0400 | Mrs Kimberly Michelle Witte, ARNP CS BC
519 Licking Pike,
Wilder, KY 41071
Ph: (859) 572-0400 |
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