Mrs Kimberly Kay Pore, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Columbus, Texas. Her current practice location is
1460 Walnut St, Columbus, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 732-6204.
Mrs Kimberly Kay Pore is licensed to practice in Texas (license number 39509) 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 1366741522.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Kay Pore |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1460 Walnut St, Columbus, Texas |
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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: 1366741522
- Provider Enumeration Date: 03/26/2011
- Last Update Date: 12/05/2012
Medicare PECOS Information:
- PECOS PAC ID: 3577716703
- Enrollment ID: I20130119000084
Medical Identifiers
Medical identifiers for Mrs Kimberly Kay Pore such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1366741522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 39509 (Texas) | 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 Kay Pore allows following entities to bill medicare on her behalf.
Entity Name | Texana Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912954058 PECOS PAC ID: 7618963265 Enrollment ID: O20040421000535 |
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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. Mrs Kimberly Kay Pore 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 Kay Pore, LCSW 1460 Walnut St, Columbus, TX 78934-2131 Ph: (979) 732-6204 | Mrs Kimberly Kay Pore, LCSW 1460 Walnut St, Columbus, TX 78934-2131 Ph: (979) 732-6204 |
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