Kimberly Williams-nyberg, LPC, SAC in Appleton, WI

Kimberly Williams-nyberg, LPC, SAC is a medicare enrolled "Counselor - Professional" provider in Appleton, Wisconsin. Her current practice location is 320 S Walnut St, Appleton, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 832-5241.

Kimberly Williams-nyberg is licensed to practice in Wisconsin (license number 7404-125) 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 1811438104.

Contact Information

	Kimberly Williams-nyberg, LPC, SAC
	320 S Walnut St, Appleton, WI 54911-5918
	(920) 832-5241
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Williams-nyberg
Gender	Female
Speciality	Counselor - Professional
Location	320 S Walnut St, Appleton, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1811438104
Provider Enumeration Date: 03/20/2017
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 1658718507
Enrollment ID: I20240327001401

Medical Identifiers

Medical identifiers for Kimberly Williams-nyberg such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811438104	NPI	-	NPPES
100077178	Medicaid	WI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	16279-131 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	3546-226 (Wisconsin)	Secondary
101YP2500X	Counselor - Professional	7404-125 (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 Williams-nyberg allows following entities to bill medicare on her behalf.

Entity Name	County Of Outagamie
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629138995 PECOS PAC ID: 7517930019 Enrollment ID: O20040813000471

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 Williams-nyberg 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 Williams-nyberg, LPC, SAC 320 S Walnut St, Appleton, WI 54911-5918 Ph: (920) 832-5241	Kimberly Williams-nyberg, LPC, SAC 320 S Walnut St, Appleton, WI 54911-5918 Ph: (920) 832-5241

Reviews and Comments

Counselor in Appleton, WI

Ms. Maria Gloria Vercimak, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 444 N Westhill Blvd, Appleton, WI 54914 Phone: 920-750-7000 Fax: 920-364-2451
Pablo E Serna, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 S Walnut St, Appleton, WI 54911 Phone: 920-832-4741 Fax: 920-832-2185
Kimberly Anne Johnson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3003 N Richmond St, Appleton, WI 54911 Phone: 920-730-1321 Fax: 920-734-2824
Teri G Metropulos, LAPC Counselor Medicare: Medicare Enrolled Practice Location: 229 S. Morrison, Appleton, WI 54911 Phone: 920-832-2783 Fax: 920-832-2635
Nhia Moua, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 5601 W Grande Market Dr Ste N, Appleton, WI 54913 Phone: 920-903-1060 Fax: 920-903-1164
Trevor Konetzke, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 201 S Glenridge Ct, Appleton, WI 54914 Phone: 920-731-3981
Mrs. Danielle Faye Falesnik, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 601 1/2 W College Ave Ste 3, Appleton, WI 54911 Phone: 920-795-7188 Fax: 920-570-6994

Kimberly Williams-nyberg, LPC, SAC - Medicare Counselor in Appleton, WI