Ms Kimberly Henry, FNP is a medicare enrolled "Nurse Practitioner - Family" in Groton, New York. She graduated from nursing school in 2014 and has 10 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Crouse Health Hospital Inc and her current practice location is
100 Sykes St, Groton, New York. You can reach out to her office (for appointments etc.) via phone at
(607) 898-5827.
Ms Kimberly Henry is licensed to practice in New York (license number 338811) 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 1114332806.
Provider's Profile
Full Name | Ms Kimberly Henry |
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Gender | Female |
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Speciality | Nurse Practitioner |
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Experience | 10 Years |
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Location | 100 Sykes St, Groton, New York |
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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. |
Medical Education and Training:
- Ms Kimberly Henry graduated from nursing school in 2014
NPI Data:
- NPI Number: 1114332806
- Provider Enumeration Date: 06/22/2014
- Last Update Date: 06/22/2014
Medicare PECOS Information:
- PECOS PAC ID: 8921317470
- Enrollment ID: I20151022002705
Medical Identifiers
Medical identifiers for Ms Kimberly Henry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1114332806 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363LF0000X | Nurse Practitioner - Family | 338811 (New York) | Primary |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Crouse Health Hospital Inc | 9739173774 | 110 |
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. Ms Kimberly Henry allows following entities to bill medicare on her behalf.
Entity Name | Crouse Health Hospital Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1841340205 PECOS PAC ID: 9739173774 Enrollment ID: O20040413000018 |
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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. Ms Kimberly Henry 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 |
Ms Kimberly Henry, FNP 100 Sykes St, Groton, NY 13073-1231 Ph: (607) 898-5827 | Ms Kimberly Henry, FNP 100 Sykes St, Groton, NY 13073-1231 Ph: (607) 898-5827 |
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