Kimberly Shontelle Stevenson, in Union City, NJ

Kimberly Shontelle Stevenson, is a medicare enrolled "Counselor - Mental Health" provider in Union City, New Jersey. Her current practice location is 2201 Bergenline Ave, Union City, New Jersey. You can reach out to her office (for appointments etc.) via phone at (201) 558-3700.

Kimberly Shontelle Stevenson is licensed to practice in * (Not Available) (license number ) 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 1568751501.

Contact Information

	Kimberly Shontelle Stevenson,
	2201 Bergenline Ave, Union City, NJ 07087-3582
	(201) 558-3700
	(201) 392-5048

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Shontelle Stevenson
Gender	Female
Speciality	Counselor - Mental Health
Location	2201 Bergenline Ave, Union City, New Jersey
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1568751501
Provider Enumeration Date: 03/30/2011
Last Update Date: 07/10/2015

Medicare PECOS Information:

PECOS PAC ID: 7719429687
Enrollment ID: I20240606002005

Medical Identifiers

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

Identifier	Type	State	Issuer
1568751501	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	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 Shontelle Stevenson allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Behavioral Healthcare, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134176720 PECOS PAC ID: 4486640653 Enrollment ID: O20040422001178

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 Shontelle Stevenson 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 Shontelle Stevenson, 2201 Bergenline Ave, Union City, NJ 07087-3582 Ph: (201) 558-3700	Kimberly Shontelle Stevenson, 2201 Bergenline Ave, Union City, NJ 07087-3582 Ph: (201) 558-3700

Reviews and Comments

Counselor in Union City, NJ

Ms. Michelle Deen, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3196 Kennedy Blvd Ste 2, Union City, NJ 07087 Phone: 201-604-0377 Fax: 201-648-2026
Ms. Heidi Anita Morelli, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 380 Mountain Rd Apt 1909, Union City, NJ 07087 Phone: 201-743-9285
Michael Richardson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Bergenline Ave, Union City, NJ 07087 Phone: 201-563-6492
Luz E Fontanez, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2201 Bergenline Ave, Union City, NJ 07087 Phone: 201-558-3725 Fax: 201-392-5048
Sarai Gidel Mata, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3196 Kennedy Blvd, Union City, NJ 07087 Phone: 833-617-0501
Kathy Jenny Amaya, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3196 Kennedy Blvd Ste 2, Union City, NJ 07087 Phone: 201-234-2844

Kimberly Shontelle Stevenson, - Medicare Counselor in Union City, NJ