Kimberly Davis, LPC in Southaven, MS - Medicare Counselor Provider

Kimberly Davis, LPC is a medicare enrolled "Counselor - Professional" provider in Southaven, Mississippi. Her current practice location is 1310 Goodman Rd E, Southaven, Mississippi. You can reach out to her office (for appointments etc.) via phone at (662) 470-5433.

Kimberly Davis is licensed to practice in Mississippi (license number 2854) 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 1063130029.

Contact Information

	Kimberly Davis, LPC
	1310 Goodman Rd E, Southaven, MS 38671-9542
	(662) 470-5433
	(501) 745-2378

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Davis
Gender	Female
Speciality	Counselor - Professional
Location	1310 Goodman Rd E, Southaven, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063130029
Provider Enumeration Date: 08/16/2022
Last Update Date: 08/23/2022

Medicare PECOS Information:

PECOS PAC ID: 4284170200
Enrollment ID: I20240726000364

Medical Identifiers

Medical identifiers for Kimberly Davis such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063130029	NPI	-	NPPES
2854	Other	MS	LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2854 (Mississippi)	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 Davis allows following entities to bill medicare on her behalf.

Entity Name	You Matter Counseling And Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1174377345 PECOS PAC ID: 3375089394 Enrollment ID: O20240725002437

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 Davis 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 Davis, LPC 1310 Goodman Rd E, Southaven, MS 38671-9542 Ph: (662) 470-5433	Kimberly Davis, LPC 1310 Goodman Rd E, Southaven, MS 38671-9542 Ph: (662) 470-5433

Reviews and Comments

Counselor in Southaven, MS

Dr. Marilyn S Snow, PH.D. ,LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8626 Airways Blvd, Southaven, MS 38671 Phone: 662-772-5937 Fax: 662-772-5940
Michael Patrick Mccallum, MS, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1150 Church Rd W, Southaven, MS 38671 Phone: 662-205-0455
Debbie S. Harrison, LPC, MHSP Counselor Medicare: Not Enrolled in Medicare Practice Location: 8829 Centre St, Southaven, MS 38671 Phone: 662-280-5758 Fax: 662-280-5708
Mrs. Angelique R Walker, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 9151 Kirkwood Ln, Southaven, MS 38671 Phone: 228-234-5928
Ms. Lakeia Kirksey, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 7160 Tchulahoma Rd Bldg B, Southaven, MS 38671 Phone: 662-536-3132
Mrs. Meagan Michell Mcpherson, LPC, M.ED, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 885 Ferncliff Cv, Suite Number 2, Southaven, MS 38671 Phone: 662-342-2700 Fax: 662-342-7300

Kimberly Davis, LPC - Medicare Counselor in Southaven, MS