Kimberly Travis, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Chicago, Illinois. She graduated from healthcare school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mobile Wellness Incorporated and her current practice location is
10208 S Indianapolis Ave Ste 301, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(866) 413-1988.
Kimberly Travis is licensed to practice in Indiana (license number 34006318A) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194017269.
Healthcare Provider's Profile
| Full Name | Kimberly Travis |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 16 Years |
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| Location | 10208 S Indianapolis Ave Ste 301, Chicago, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly Travis graduated from medical school in 2008
NPI Data:
- NPI Number: 1194017269
- Provider Enumeration Date: 05/09/2011
- Last Update Date: 07/27/2023
Medicare PECOS Information:
- PECOS PAC ID: 6800032848
- Enrollment ID: I20171205002091
Medical Identifiers
Medical identifiers for Kimberly Travis such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1194017269 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 149.014508 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34006318A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Mobile Wellness Incorporated | 6800204744 | 2 |
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 Travis allows following entities to bill medicare on her behalf.
| Entity Name | Mobile Wellness Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982292199
PECOS PAC ID: 6800204744
Enrollment ID: O20210726002274 |
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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 Travis 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 |
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Kimberly Travis, LCSW
1101 Cumberland Xing # 108,
Valparaiso, IN 46383-2356
Ph: (866) 413-1988 | Kimberly Travis, LCSW
10208 S Indianapolis Ave Ste 301,
Chicago, IL 60617-6033
Ph: (866) 413-1988 |
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