Kimberly Jo Riley, LMFT CSAC ICS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Brodhead, Wisconsin. Her current practice location is
E401 23rd St, Brodhead, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(608) 690-3078.
Kimberly Jo Riley is licensed to practice in Wisconsin (license number 15970-132) 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 1760723712.
Healthcare Provider's Profile
Full Name | Kimberly Jo Riley |
---|
Gender | Female |
---|
Speciality | Counselor - Addiction (substance Use Disorder) |
---|
Location | E401 23rd St, Brodhead, Wisconsin |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1760723712
- Provider Enumeration Date: 03/14/2013
- Last Update Date: 07/06/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042657280
- Enrollment ID: I20240322002416
Medical Identifiers
Medical identifiers for Kimberly Jo Riley such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760723712 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 15970-132 (Wisconsin) | 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 Jo Riley allows following entities to bill medicare on her behalf.
Entity Name | Empower Recovery Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1467131441 PECOS PAC ID: 6305292574 Enrollment ID: O20231024002246 |
---|
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 Jo Riley 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 Jo Riley, LMFT CSAC ICS 20 W Gailen Ln, Milton, WI 53563-8752 Ph: () - | Kimberly Jo Riley, LMFT CSAC ICS E401 23rd St, Brodhead, WI 53520-2203 Ph: (608) 690-3078 |
Reviews and Comments