Kimberly Nicole Clayton, in San Dimas, CA - Medicare Social Worker Provider

Kimberly Nicole Clayton, is a medicare enrolled "Social Worker - Clinical" provider in San Dimas, California. Her current practice location is 1900 Sycamore Canyon Rd, San Dimas, California. You can reach out to her office (for appointments etc.) via phone at (909) 599-2361.

Kimberly Nicole Clayton is licensed to practice in California (license number LCSW29139) 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 1023261005.

Contact Information

	Kimberly Nicole Clayton,
	1900 Sycamore Canyon Rd, San Dimas, CA 91773
	(909) 599-2361
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Nicole Clayton
Gender	Female
Speciality	Social Worker - Clinical
Location	1900 Sycamore Canyon Rd, San Dimas, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023261005
Provider Enumeration Date: 11/04/2008
Last Update Date: 05/03/2021

Medicare PECOS Information:

PECOS PAC ID: 9537514922
Enrollment ID: I20231004001796

Medical Identifiers

Medical identifiers for Kimberly Nicole Clayton such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023261005	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW29139 (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. Kimberly Nicole Clayton allows following entities to bill medicare on her behalf.

Entity Name	Grow Healthcare Group Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1154994846 PECOS PAC ID: 1850774746 Enrollment ID: O20220809004080

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 Nicole Clayton 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 Nicole Clayton, 550 S Vermont, Los Angeles, CA 90020 Ph: () -	Kimberly Nicole Clayton, 1900 Sycamore Canyon Rd, San Dimas, CA 91773 Ph: (909) 599-2361

Reviews and Comments

Social Worker in San Dimas, CA

Cynthia Carleen Gonzalez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 762 W Cypress Ave, San Dimas, CA 91773 Phone: 909-599-1227
Sarah Michelle Davis, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1472 W Badillo St, San Dimas, CA 91773 Phone: 626-710-3414
Jacquelyn Denise Najera, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227
Jacob Singhavong, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 540 E Foothill Blvd Ste 101, San Dimas, CA 91773 Phone: 626-779-8583
Flor Ramos-montelongo, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227
Heidi Sofia Montiel Rosales, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 180 Via Verde Ste 200, San Dimas, CA 91773 Phone: 909-599-1227

Kimberly Nicole Clayton, - Medicare Clinical Social Worker in San Dimas, CA