Mrs Kimberly Tyra Lanier, APRN BC CNS/PMH is a medicare enrolled "Clinical Nurse Specialist - Psychiatric/mental Health, Adult" in Roswell, Georgia. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Psych Atlanta, P.c. and her current practice location is
11755 Pointe Pl Ste A1, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 653-5182.
Mrs Kimberly Tyra Lanier is licensed to practice in Georgia (license number RN119081) 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 1144558404.
Provider's Profile
| Full Name | Mrs Kimberly Tyra Lanier |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 30 Years |
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| Location | 11755 Pointe Pl Ste A1, Roswell, Georgia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Mrs Kimberly Tyra Lanier graduated from nursing school in 1994
NPI Data:
- NPI Number: 1144558404
- Provider Enumeration Date: 11/25/2009
- Last Update Date: 02/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224376074
- Enrollment ID: I20190220003230
Medical Identifiers
Medical identifiers for Mrs Kimberly Tyra Lanier such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1144558404 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 364SP0809X | Clinical Nurse Specialist - Psychiatric/mental Health, Adult | RN119081 (Georgia) | Primary |
| 364S00000X | Clinical Nurse Specialist | RN119081CNS/PMH (Georgia) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Psych Atlanta, P.c. | 0042293573 | 9 |
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 Tyra Lanier allows following entities to bill medicare on her behalf.
| Entity Name | Psych Atlanta, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184756090
PECOS PAC ID: 0042293573
Enrollment ID: O20040608000133 |
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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 Tyra Lanier 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 |
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Mrs Kimberly Tyra Lanier, APRN BC CNS/PMH
5965 Parkway North Blvd., Suite C,
Cumming, GA 30040
Ph: (770) 475-8014 | Mrs Kimberly Tyra Lanier, APRN BC CNS/PMH
11755 Pointe Pl Ste A1,
Roswell, GA 30076-4657
Ph: (770) 653-5182 |
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