Ms Kimberly Tersilla Smith, AUD in Stockton, CA - Medicare Audiologist Provider

Ms Kimberly Tersilla Smith, AUD is a medicare enrolled "Audiologist" provider in Stockton, California. Her current practice location is 10200 Trinity Pkwy Ste 201, Stockton, California. You can reach out to her office (for appointments etc.) via phone at (209) 952-0483.

Ms Kimberly Tersilla Smith is licensed to practice in California (license number AU3301) 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 1023509734.

Contact Information

	Ms Kimberly Tersilla Smith, AUD
	10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288
	(209) 952-0483
	(209) 478-5785

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly Tersilla Smith
Gender	Female
Speciality	Audiologist
Location	10200 Trinity Pkwy Ste 201, Stockton, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023509734
Provider Enumeration Date: 05/29/2018
Last Update Date: 05/14/2020

Medicare PECOS Information:

PECOS PAC ID: 3274882089
Enrollment ID: I20180827002841

Medical Identifiers

Medical identifiers for Ms Kimberly Tersilla Smith such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023509734	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
231H00000X	Audiologist	AU3301 (California)	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. Ms Kimberly Tersilla Smith allows following entities to bill medicare on her behalf.

Provider Name	Regents Of The University Of California
Provider Type	Part B Supplier - Clinic/group Practice
Provider Identifiers	NPI Number: 1952998973 PECOS PAC ID: 8022922475 Enrollment ID: O20031118001149

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 Tersilla Smith 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 Tersilla Smith, AUD 1111 Exposition Blvd Bldg 700, Sacramento, CA 95815-4314 Ph: (916) 736-3399	Ms Kimberly Tersilla Smith, AUD 10200 Trinity Pkwy Ste 201, Stockton, CA 95219-7288 Ph: (209) 952-0483

Reviews and Comments

Audiologist in Stockton, CA

Aunyaporn Amornpongchai, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 3601 Pacific Avenue, Audiology Department, Stockton, CA 95211 Phone: 209-946-7378
Dr. Ken Edward Norton, AU.D. Audiologist Medicare: Accepting Medicare Assignments Practice Location: 1231 W Robinhood Dr Ste A2, Stockton, CA 95207 Phone: 209-957-1744 Fax: 209-957-1147
Mrs. Erica Diana Rodriguez, M.S., CCC-A Audiologist Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-2080
Stockton Hearing & Speech Center Audiologist Medicare: Not Enrolled in Medicare Practice Location: 4623 Quail Lakes Drive, Stockton, CA 95207 Phone: 209-951-6491
Ms. Andrea Lynn Wallace, M.S. Audiologist Medicare: Medicare Enrolled Practice Location: 7373 West Ln, Stockton, CA 95210 Phone: 209-476-3427 Fax: 209-476-3142
Munirah Awad, AUD Audiologist Medicare: Medicare Enrolled Practice Location: 3601 Pacific Ave, Stockton, CA 95211 Phone: 209-946-7378

Ms Kimberly Tersilla Smith, AUD - Medicare Audiologist in Stockton, CA