Mrs Kimberly R Henriques, APRN-AGACNP in Beverly, MA

Mrs Kimberly R Henriques, APRN-AGACNP is a medicare enrolled "Nurse Practitioner - Gerontology" in Beverly, Massachusetts. Her current practice location is 85 Herrick Street, Beverly, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (978) 922-3000.

Mrs Kimberly R Henriques is licensed to practice in Maine (license number CNP151201) 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 1770964728.

Contact Information

	Mrs Kimberly R Henriques, APRN-AGACNP
	85 Herrick Street, Beverly, MA 01915
	(978) 922-3000
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly R Henriques
Gender	Female
Speciality	Nurse Practitioner - Gerontology
Location	85 Herrick Street, Beverly, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1770964728
Provider Enumeration Date: 06/16/2015
Last Update Date: 02/01/2018

Medicare PECOS Information:

PECOS PAC ID: 8527365246
Enrollment ID: I20160324000208

Medical Identifiers

Medical identifiers for Mrs Kimberly R Henriques such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770964728	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	RN64322 (Maine)	Secondary
363LG0600X	Nurse Practitioner - Gerontology	CNP151201 (Maine)	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 R Henriques allows following entities to bill medicare on her behalf.

Entity Name	Maine Medical Partners
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1285738310 PECOS PAC ID: 9335043967 Enrollment ID: O20040525000396

Entity Name	Mainehealth
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790265502 PECOS PAC ID: 7517860588 Enrollment ID: O20040701000166

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 R Henriques 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 R Henriques, APRN-AGACNP 85 Herrick Street, Beverly, MA 01915 Ph: (978) 922-3000	Mrs Kimberly R Henriques, APRN-AGACNP 85 Herrick Street, Beverly, MA 01915 Ph: (978) 922-3000

Reviews and Comments

Nurse Practitioner Nurses in Beverly, MA

Ms. Linda G Haynes, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 85 Herrick St, The Lynch Building, Beverly, MA 01915 Phone: 978-921-2899 Fax: 978-921-2968
Dr. Judith Lorraine Webb, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 62 West St, Beverly, MA 01915 Phone: 339-224-7862
Julie Connick, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 900 Cummings Ctr, Suite 107w, Beverly, MA 01915 Phone: 978-927-1859 Fax: 978-774-1062
Mrs. Dallas M Walsh, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 100 Cummings Ctr, Suite 126q, Beverly, MA 01915 Phone: 978-524-8181
Ms. Luanne Marie Off, FNP, MSN, MPH, RN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19 Dodge Street, Minuteclinic, Beverly, MA 01915 Phone: 866-389-2727
Dr. Gina Pallanta, DNP, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 50 Dodge St, Beverly, MA 01915 Phone: 978-922-2171
Anita Marie Ash, ANP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 77 Herrick St Ste 101, Beverly, MA 01915 Phone: 978-927-4110

Mrs Kimberly R Henriques, APRN-AGACNP - Medicare Nurse Practitioner in Beverly, MA