Kimberly Backfisch, LPC, RPT is a medicare enrolled "Counselor - Professional" provider in Advance, Missouri. Her current practice location is
19806 State Highway C, Advance, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 321-8924.
Kimberly Backfisch is licensed to practice in Missouri (license number 2019009248) 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 1689292302.
Healthcare Provider's Profile
Full Name | Kimberly Backfisch |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 19806 State Highway C, Advance, Missouri |
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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: 1689292302
- Provider Enumeration Date: 07/09/2020
- Last Update Date: 12/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 8527509777
- Enrollment ID: I20240916002493
Medical Identifiers
Medical identifiers for Kimberly Backfisch such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689292302 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 2019009248 (Missouri) | 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 Backfisch allows following entities to bill medicare on her behalf.
Entity Name | Inspiring Relationships Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1073395570 PECOS PAC ID: 7618418864 Enrollment ID: O20240916002377 |
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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 Backfisch 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 Backfisch, LPC, RPT 3403 Bcr 725, Zalma, MO 63787-8769 Ph: (573) 275-0269 | Kimberly Backfisch, LPC, RPT 19806 State Highway C, Advance, MO 63730-8352 Ph: (573) 321-8924 |
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