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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