Kimberley Sue Montgomery, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Kokomo, Indiana. Her current practice location is
322 N Main St, Kokomo, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 453-8238.
Kimberley Sue Montgomery is licensed to practice in Kentucky (license number 254519) 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 1720129117.
Healthcare Provider's Profile
| Full Name | Kimberley Sue Montgomery |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 322 N Main St, Kokomo, Indiana |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1720129117
- Provider Enumeration Date: 02/09/2007
- Last Update Date: 09/17/2020
Medicare PECOS Information:
- PECOS PAC ID: 3870927072
- Enrollment ID: I20191220002425
Medical Identifiers
Medical identifiers for Kimberley Sue Montgomery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1720129117 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34007283A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 254519 (Kentucky) | 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. Kimberley Sue Montgomery allows following entities to bill medicare on her behalf.
| Entity Name | Seven Counties Services, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1598793671
PECOS PAC ID: 1759294424
Enrollment ID: O20031110000034 |
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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. Kimberley Sue Montgomery 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 |
|---|
Kimberley Sue Montgomery, LCSW
322 N Main St,
Kokomo, IN 46901-4622
Ph: () - | Kimberley Sue Montgomery, LCSW
322 N Main St,
Kokomo, IN 46901-4622
Ph: (765) 453-8238 |
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