Nicole Dawn Kinen, is a medicare enrolled "Nurse Practitioner - Family" in Wray, Colorado. Her current practice location is
1017 W 7th St, Wray, Colorado. You can reach out to her office (for appointments etc.) via phone at
(970) 332-4811.
Nicole Dawn Kinen is licensed to practice in Colorado (license number C-ANP.0102967-C-NP) 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 1700604030.
Provider's Profile
| Full Name | Nicole Dawn Kinen |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Family |
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| Location | 1017 W 7th St, Wray, Colorado |
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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: 1700604030
- Provider Enumeration Date: 09/26/2024
- Last Update Date: 09/26/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648703090
- Enrollment ID: I20241024000940
Medical Identifiers
Medical identifiers for Nicole Dawn Kinen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1700604030 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | C-ANP.0102967-C-NP (Colorado) | 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. Nicole Dawn Kinen allows following entities to bill medicare on her behalf.
| Entity Name | Wray Community District Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477587202
PECOS PAC ID: 3274425038
Enrollment ID: O20040326000383 |
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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. Nicole Dawn Kinen 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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Nicole Dawn Kinen,
1008 Cactus Ct,
Wray, CO 80758-2036
Ph: (785) 332-5045 | Nicole Dawn Kinen,
1017 W 7th St,
Wray, CO 80758-1420
Ph: (970) 332-4811 |
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