Kimberly L Evans, LICSW is a medicare enrolled "Social Worker" provider in Madison, Alabama. Her current practice location is
1634 Slaughter Rd, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 822-2375.
Kimberly L Evans is licensed to practice in Alabama (license number 4239C) 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 1033391933.
Healthcare Provider's Profile
| Full Name | Kimberly L Evans |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 1634 Slaughter Rd, Madison, Alabama |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1033391933
- Provider Enumeration Date: 12/03/2007
- Last Update Date: 01/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 7315369592
- Enrollment ID: I20200616002140
Medical Identifiers
Medical identifiers for Kimberly L Evans such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1033391933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | 4239C (Alabama) | Secondary |
| 104100000X | Social Worker | 4239C (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 L Evans allows following entities to bill medicare on her behalf.
| Entity Name | Covenant Counseling & Consulting Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295111557
PECOS PAC ID: 2769789551
Enrollment ID: O20160322001395 |
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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 L Evans 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 L Evans, LICSW
251 Johnston St Se Ste 100,
Decatur, AL 35601-2515
Ph: (256) 822-2375 | Kimberly L Evans, LICSW
1634 Slaughter Rd,
Madison, AL 35758-5913
Ph: (256) 822-2375 |
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