Kimberly Nelson, is a medicare enrolled "Occupational Therapist" provider in Ham Lake, Minnesota. Her current practice location is
3609 146th Ave Ne, Ham Lake, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(763) 755-3794.
Kimberly Nelson is licensed to practice in Minnesota (license number 103354) 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 1033308424.
Healthcare Provider's Profile
Full Name | Kimberly Nelson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 3609 146th Ave Ne, Ham Lake, Minnesota |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1033308424
- Provider Enumeration Date: 10/22/2007
- Last Update Date: 10/22/2007
Medicare PECOS Information:
- PECOS PAC ID: 9931410974
- Enrollment ID: I20150617003150
Medical Identifiers
Medical identifiers for Kimberly Nelson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1033308424 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 103354 (Minnesota) | 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. Kimberly Nelson allows following entities to bill medicare on her behalf.
Provider Name | Therapy Associates, Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1558418012 PECOS PAC ID: 5496066425 Enrollment ID: O20150617002736 |
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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. Kimberly Nelson 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 |
Kimberly Nelson, 3609 146th Ave Ne, Ham Lake, MN 55304-6415 Ph: () - | Kimberly Nelson, 3609 146th Ave Ne, Ham Lake, MN 55304-6415 Ph: (763) 755-3794 |
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