Lacey Kimpel, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Waukesha, Wisconsin. Her current practice location is
1737 Erin Ln, Waukesha, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(262) 613-9478.
Lacey Kimpel is licensed to practice in Wisconsin (license number 9776-123) 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 1285010009.
Healthcare Provider's Profile
| Full Name | Lacey Kimpel |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1737 Erin Ln, Waukesha, Wisconsin |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1285010009
- Provider Enumeration Date: 08/04/2015
- Last Update Date: 10/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 5092105676
- Enrollment ID: I20211214002853
Medical Identifiers
Medical identifiers for Lacey Kimpel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285010009 | NPI | - | NPPES |
| 1285010009 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 130311-121 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 130311-121 (Wisconsin) | Secondary |
| 1041C0700X | Social Worker - Clinical | 9776-123 (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. Lacey Kimpel allows following entities to bill medicare on her behalf.
| Entity Name | Andromeda Wellness Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1144894494 PECOS PAC ID: 7618375692 Enrollment ID: O20211005002156 |
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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. Lacey Kimpel 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 |
Lacey Kimpel, LCSW 1737 Erin Ln, Waukesha, WI 53188-4800 Ph: () - | Lacey Kimpel, LCSW 1737 Erin Ln, Waukesha, WI 53188-4800 Ph: (262) 613-9478 |
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