Carol Sue Kimbro, LPC in Tishomingo, OK - Medicare Counselor Provider

Carol Sue Kimbro, LPC is a medicare enrolled "Counselor - Mental Health" provider in Tishomingo, Oklahoma. Her current practice location is 504 E 24th St, Tishomingo, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (580) 371-9933.

Carol Sue Kimbro is licensed to practice in Oklahoma (license number 3839) 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 1972806149.

Contact Information

	Carol Sue Kimbro, LPC
	504 E 24th St, Tishomingo, OK 73460-3214
	(580) 371-9933
	(580) 371-9944

Map and Direction

Healthcare Provider's Profile

Full Name	Carol Sue Kimbro
Gender	Female
Speciality	Counselor - Mental Health
Location	504 E 24th St, Tishomingo, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1972806149
Provider Enumeration Date: 12/09/2010
Last Update Date: 12/09/2010

Medicare PECOS Information:

PECOS PAC ID: 1355790445
Enrollment ID: I20231214002661

Medical Identifiers

Medical identifiers for Carol Sue Kimbro such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1972806149	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	3839 (Oklahoma)	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. Carol Sue Kimbro allows following entities to bill medicare on her behalf.

Entity Name	Chickasaw Nation Division Of Health Chickasaw Nation Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1255364923 PECOS PAC ID: 8426957523 Enrollment ID: O20040108000364

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. Carol Sue Kimbro 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
Carol Sue Kimbro, LPC 504 E 24th St, Tishomingo, OK 73460-3214 Ph: (580) 371-9933	Carol Sue Kimbro, LPC 504 E 24th St, Tishomingo, OK 73460-3214 Ph: (580) 371-9933

Reviews and Comments

Counselor in Tishomingo, OK

Craig Kendall Edmondson, BS ED BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 801 E Main St, Tishomingo, OK 73460 Phone: 580-371-3776
Brianna Megan Thompson, MA, LPC, NCC Counselor Medicare: Medicare Enrolled Practice Location: 817 E 6th St, Tishomingo, OK 73460 Phone: 580-495-8613
Mrs. Jim Ann Reynolds, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 580-371-9933 Fax: 580-371-9944
Mrs. Amanda Kay Blue, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1531 West Main, Tishomingo, OK 73460 Phone: 580-371-8719
Mrs. Jayne Hull, Counselor Medicare: Not Enrolled in Medicare Practice Location: 705 W Main St, Tishomingo, OK 73460 Phone: 580-371-3799
Will Haywood, BHRS Counselor Medicare: Not Enrolled in Medicare Practice Location: 512 E 24th St, Tishomingo, OK 73460 Phone: 580-371-3672 Fax: 580-371-3651
Ms. Kelly Lynn Palmer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 E 24th St, Tishomingo, OK 73460 Phone: 903-815-0843 Fax: 580-371-9944

Carol Sue Kimbro, LPC - Medicare Counselor in Tishomingo, OK