Kimberly Obrien, PHD, LICSW in Walpole, MA - Medicare Social Worker Provider

Kimberly Obrien, PHD, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Walpole, Massachusetts. Her current practice location is 12 Red Gate Rd, Walpole, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (781) 696-6779.

Kimberly Obrien is licensed to practice in Massachusetts (license number 114403) 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 1275694309.

Contact Information

	Kimberly Obrien, PHD, LICSW
	12 Red Gate Rd, Walpole, MA 02081-3785
	(781) 696-6779
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Obrien
Gender	Female
Speciality	Social Worker - Clinical
Location	12 Red Gate Rd, Walpole, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1275694309
Provider Enumeration Date: 12/13/2006
Last Update Date: 02/15/2024

Medicare PECOS Information:

PECOS PAC ID: 7911339759
Enrollment ID: I20191115000768

Medical Identifiers

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

Identifier	Type	State	Issuer
1275694309	NPI	-	NPPES
042611055	Other	MA	TAX ID
703136	Other	MA	TUFTS
M18633	Other	MA	BCBC
NP01332	Other	MA	BMC
1004745	Other	MA	NHP
1303287	Other	MA	MBHP
1303287	Medicaid	MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	114403 (Massachusetts)	Primary
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary

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 Obrien allows following entities to bill medicare on her behalf.

Entity Name	Children's Hospital Pediatric Associates, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964

Entity Name	Children's Sports Medicine Foundation Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1740216811 PECOS PAC ID: 7719901198 Enrollment ID: O20060125000006

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 Obrien 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 Obrien, PHD, LICSW 12 Red Gate Rd, Walpole, MA 02081-3785 Ph: (781) 696-6779	Kimberly Obrien, PHD, LICSW 12 Red Gate Rd, Walpole, MA 02081-3785 Ph: (781) 696-6779

Reviews and Comments

Social Worker in Walpole, MA

Stephanie K Power, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4 Chickering Ln, Walpole, MA 02081 Phone: 617-462-4494
Ms. Terese Nicole Romano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 399 Lincoln Rd, Walpole, MA 02081 Phone: 508-660-7460
Ms. Ellen M Curran, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 95 West St, May Counseling Center, Walpole, MA 02081 Phone: 508-660-1510
Peter Camden, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4 Old Diamond St, Walpole, MA 02081 Phone: 617-785-4838
Nance Govendo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 27 Merganser Way, Walpole, MA 02081 Phone: 508-668-1910
Mrs. Beth Brinkmann Cianci, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 32 Robbins Rd, Walpole, MA 02081 Phone: 508-524-6299
Kara G. Fink, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 545 South St, Walpole, MA 02081 Phone: 781-784-4944

Kimberly Obrien, PHD, LICSW - Medicare Clinical Social Worker in Walpole, MA