Kimberly E Clark, LICSW is a medicare enrolled "Social Worker" provider in Clanton, Alabama. Her current practice location is
110 Medical Center Dr, Clanton, Alabama. You can reach out to her office (for appointments etc.) via phone at
(205) 651-0077.
Kimberly E Clark is licensed to practice in Alabama (license number 5455C) 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 1659935427.
Healthcare Provider's Profile
Full Name | Kimberly E Clark |
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Gender | Female |
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Speciality | Social Worker |
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Location | 110 Medical Center Dr, Clanton, Alabama |
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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: 1659935427
- Provider Enumeration Date: 04/26/2019
- Last Update Date: 10/25/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113378274
- Enrollment ID: I20240112002726
Medical Identifiers
Medical identifiers for Kimberly E Clark such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659935427 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
104100000X | Social Worker | 5455C (Alabama) | 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 E Clark allows following entities to bill medicare on her behalf.
Entity Name | Mental Health Board Of Chilton And Shelby Counties Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1639247869 PECOS PAC ID: 7315911344 Enrollment ID: O20040824001312 |
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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 E Clark 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 E Clark, LICSW Po Box 689, Calera, AL 35040-0689 Ph: (205) 651-0077 | Kimberly E Clark, LICSW 110 Medical Center Dr, Clanton, AL 35045-2332 Ph: (205) 651-0077 |
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