Kimberly Anne Conrad, SED is a medicare enrolled "Counselor - School" provider in Waucoma, Iowa. Her current practice location is
100 1st Ave Sw, Waucoma, Iowa. You can reach out to her office (for appointments etc.) via phone at
(563) 776-4060.
Kimberly Anne Conrad is licensed to practice in Iowa (license number 351029) 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 1619054764.
Healthcare Provider's Profile
Full Name | Kimberly Anne Conrad |
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Gender | Female |
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Speciality | Counselor - School |
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Location | 100 1st Ave Sw, Waucoma, Iowa |
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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: 1619054764
- Provider Enumeration Date: 11/01/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 6204373848
- Enrollment ID: I20240801000326
Medical Identifiers
Medical identifiers for Kimberly Anne Conrad such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1619054764 | NPI | - | NPPES |
1012617 | Medicaid | IA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YS0200X | Counselor - School | 351029 (Iowa) | 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. Kimberly Anne Conrad allows following entities to bill medicare on her behalf.
Entity Name | Counseling & Family Centered Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225401441 PECOS PAC ID: 5395282933 Enrollment ID: O20240801000284 |
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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. Kimberly Anne Conrad 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 Anne Conrad, SED 25271 Johnsons Mill Rd, Waucoma, IA 52171-7137 Ph: (563) 429-3591 | Kimberly Anne Conrad, SED 100 1st Ave Sw, Waucoma, IA 52171-9705 Ph: (563) 776-4060 |
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