Kimberly Simonne Nelson, LCMHC in Winston Salem, NC

Kimberly Simonne Nelson, LCMHC is a medicare enrolled "Counselor - Mental Health" provider in Winston Salem, North Carolina. Her current practice location is 140 Kimel Park Dr Ste 101, Winston Salem, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 718-7280.

Kimberly Simonne Nelson is licensed to practice in North Carolina (license number 4349) 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 1356497325.

Contact Information

	Kimberly Simonne Nelson, LCMHC
	140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185
	(336) 718-7280
	(336) 718-7290

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Simonne Nelson
Gender	Female
Speciality	Counselor - Mental Health
Location	140 Kimel Park Dr Ste 101, Winston Salem, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356497325
Provider Enumeration Date: 01/25/2007
Last Update Date: 08/28/2024

Medicare PECOS Information:

PECOS PAC ID: 4688024870
Enrollment ID: I20231229002923

Medical Identifiers

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

Identifier	Type	State	Issuer
1356497325	NPI	-	NPPES
137PU	Other	NC	MENTAL HEALTH
6102130	Medicaid	NC

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	4349 (North Carolina)	Secondary
101YM0800X	Counselor - Mental Health	4349 (North Carolina)	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 Simonne Nelson allows following entities to bill medicare on her behalf.

Entity Name	Novant Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692

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 Simonne Nelson 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 Simonne Nelson, LCMHC Po Box 60447, Charlotte, NC 28260-0447 Ph: () -	Kimberly Simonne Nelson, LCMHC 140 Kimel Park Dr Ste 101, Winston Salem, NC 27103-6185 Ph: (336) 718-7280

Reviews and Comments

Counselor in Winston Salem, NC

Timothy Carl Blake, Counselor Medicare: Not Enrolled in Medicare Practice Location: 725 Highland Ave, Winston Salem, NC 27101 Phone: 336-607-8523
Keren Happuch Williams, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 140 Kimel Park Dr Ste 200, Winston Salem, NC 27103 Phone: 336-718-7250 Fax: 336-718-7260
Amy Bowden, LCSWA Counselor Medicare: Accepting Medicare Assignments Practice Location: 665 W 4th St, Winston Salem, NC 27101 Phone: 336-725-8389 Fax: 336-725-6628
Chelsea Baldwin Rogers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7670 N Point Ct, Winston Salem, NC 27106 Phone: 855-362-8470 Fax: 704-362-8464
Mrs. Amy Kolb Shuman, LPC, NBCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 640 Holly Ave, Winston Salem, NC 27101 Phone: 336-725-3999
Amanda Grace Connelly, Counselor Medicare: Medicare Enrolled Practice Location: 4140 Cherry St, Winston Salem, NC 27105 Phone: 336-306-9620
Lesa Arnold Chesson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4265 Brownsboro Rd, Suite 214, Winston Salem, NC 27106 Phone: 336-896-0022

Kimberly Simonne Nelson, LCMHC - Medicare Counselor in Winston Salem, NC