Kimela Boone, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Savannah, Florida. Her current practice location is
1 Marsh Haven Ln, Savannah, Florida. You can reach out to her office (for appointments etc.) via phone at
(404) 304-4784.
Kimela Boone is licensed to practice in Georgia (license number CSW005297) 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 1588156418.
Healthcare Provider's Profile
Full Name | Kimela Boone |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1 Marsh Haven Ln, Savannah, Florida |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1588156418
- Provider Enumeration Date: 06/06/2018
- Last Update Date: 11/19/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062819071
- Enrollment ID: I20210917001309
Medical Identifiers
Medical identifiers for Kimela Boone such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1588156418 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 13277 (South Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | SW11381 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | CSW005297 (Georgia) | 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. Kimela Boone allows following entities to bill medicare on her behalf.
Entity Name | Coastal Concierge Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750055067 PECOS PAC ID: 1153728167 Enrollment ID: O20210917001257 |
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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. Kimela Boone 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 |
Kimela Boone, LCSW 403 Plantain Ter, Peachtree City, GA 30269-4026 Ph: (404) 304-4784 | Kimela Boone, LCSW 1 Marsh Haven Ln, Savannah, FL 34957 Ph: (404) 304-4784 |
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