Kimbell Bingham Waters, LCSW in Jackson, MS - Medicare Social Worker Provider

Kimbell Bingham Waters, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jackson, Mississippi. Her current practice location is 4541 N State St, Jackson, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 533-7017.

Kimbell Bingham Waters is licensed to practice in Mississippi (license number C8725) 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 1316646128.

Contact Information

	Kimbell Bingham Waters, LCSW
	4541 N State St, Jackson, MS 39206-5308
	(601) 533-7017
	(769) 333-9151

Map and Direction

Healthcare Provider's Profile

Full Name	Kimbell Bingham Waters
Gender	Female
Speciality	Social Worker - Clinical
Location	4541 N State St, Jackson, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316646128
Provider Enumeration Date: 03/01/2023
Last Update Date: 10/29/2024

Medicare PECOS Information:

PECOS PAC ID: 6204201262
Enrollment ID: I20230405002651

Medical Identifiers

Medical identifiers for Kimbell Bingham Waters such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316646128	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	C8725 (Mississippi)	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. Kimbell Bingham Waters allows following entities to bill medicare on her behalf.

Entity Name	Oak Street Health Physicians Group Of Mississippi, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235754995 PECOS PAC ID: 7012334170 Enrollment ID: O20200903001414

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. Kimbell Bingham Waters 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
Kimbell Bingham Waters, LCSW Po Box 746085, Atlanta, GA 30374-6085 Ph: (773) 352-1515	Kimbell Bingham Waters, LCSW 4541 N State St, Jackson, MS 39206-5308 Ph: (601) 533-7017

Reviews and Comments

Social Worker in Jackson, MS

Ms. Sue Ann Meng, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2500 N State St, Umc Dept Of Geriatrics Annex1, Jackson, MS 39216 Phone: 601-984-5642 Fax: 601-984-5783
Ms. Jennifer Carolyn Skinner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 350 North Mart Plaza, Suite M, Jackson, MS 39206 Phone: 601-362-8850 Fax: 601-981-0452
Mrs. Molly Willis Hoke, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1500 E Woodrow Wilson Ave, Jackson, MS 39216 Phone: 601-352-4471 Fax: 601-364-1246
Ms. Dawn Clarke, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1575 Carsley Rd, Jackson, MS 39209 Phone: 601-940-1818 Fax: 601-376-2639
Ebony Thomas, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1850 Chadwick Dr, Jackson, MS 39204 Phone: 601-421-9720
Cinder Henry, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1286 W Northside Dr Ste A, Jackson, MS 39213 Phone: 601-398-4388
Lindsey Timm Davidson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 200 N Congress St, Suite 100, Jackson, MS 39201 Phone: 601-355-8634

Kimbell Bingham Waters, LCSW - Medicare Clinical Social Worker in Jackson, MS