Mrs Kimberly Andre, LCSW in Jacksonville, FL - Medicare Social Worker Provider

Mrs Kimberly Andre, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Jacksonville, Florida. Her current practice location is 10151 Deerwood Park Blvd, 200-250, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 479-6494.

Mrs Kimberly Andre is licensed to practice in Florida (license number SW14491) 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 1811515604.

Contact Information

	Mrs Kimberly Andre, LCSW
	10151 Deerwood Park Blvd, 200-250, Jacksonville, FL 32256-0589
	(904) 479-6494
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Andre
Gender	Female
Speciality	Social Worker - Clinical
Location	10151 Deerwood Park Blvd, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811515604
Provider Enumeration Date: 07/08/2020
Last Update Date: 04/19/2022

Medicare PECOS Information:

PECOS PAC ID: 5395195937
Enrollment ID: I20231222002017

Medical Identifiers

Medical identifiers for Mrs Kimberly Andre such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811515604	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW14491 (Florida)	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. Mrs Kimberly Andre allows following entities to bill medicare on her behalf.

Entity Name	Doctor On Demand Professionals P C
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174931448 PECOS PAC ID: 9436464567 Enrollment ID: O20150818004696

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. Mrs Kimberly Andre 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
Mrs Kimberly Andre, LCSW 10151 Deerwood Park Blvd, 200-250, Jacksonville, FL 32256-0589 Ph: (904) 479-6494	Mrs Kimberly Andre, LCSW 10151 Deerwood Park Blvd, 200-250, Jacksonville, FL 32256-0589 Ph: (904) 479-6494

Reviews and Comments

Social Worker in Jacksonville, FL

Mrs. Amanda Kay Callahan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5776 Saint Augustine Rd, Jacksonville, FL 32207 Phone: 904-448-4700
Carol Lynne Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11812 Valley Garden Dr, Jacksonville, FL 32225 Phone: 904-673-8237
Ms. Latisha M Hill, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4720 Salisbury Rd, Jacksonville, FL 32256 Phone: 904-493-6190
Susan Lee, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12086 Ft.caroline Rd Suite 401, Jacksonville, FL 32225 Phone: 904-565-1271 Fax: 904-645-7325
Sarah Johanna Miller, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 820 Prudential Dr Ste 510, Jacksonville, FL 32207 Phone: 904-376-3800
Kallyn Richardson, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 11478 Harlan Dr, Jacksonville, FL 32218 Phone: 734-834-0459
Maria Susan Martinez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1760 Edgewood Ave W, Jacksonville, FL 32208 Phone: 904-301-4900 Fax: 904-924-1773

Mrs Kimberly Andre, LCSW - Medicare Clinical Social Worker in Jacksonville, FL