Madison Kimbrell, MSW QMHP in Vienna, IL - Medicare Counselor Provider

Madison Kimbrell, MSW QMHP is a medicare enrolled "Counselor - Mental Health" provider in Vienna, Illinois. Her current practice location is 101 Oliver St, Vienna, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 658-2611.

Madison Kimbrell 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 1003434291.

Contact Information

	Madison Kimbrell, MSW QMHP
	101 Oliver St, Vienna, IL 62995-1660
	(618) 658-2611
	(618) 658-2501

Map and Direction

Healthcare Provider's Profile

Full Name	Madison Kimbrell
Gender	Female
Speciality	Counselor - Mental Health
Location	101 Oliver St, Vienna, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003434291
Provider Enumeration Date: 07/14/2020
Last Update Date: 07/14/2020

Medicare PECOS Information:

PECOS PAC ID: 0345614731
Enrollment ID: I20230327001688

Medical Identifiers

Medical identifiers for Madison Kimbrell such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003434291	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. Madison Kimbrell allows following entities to bill medicare on her behalf.

Entity Name	Eric Hasemeier Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225141492 PECOS PAC ID: 4789687484 Enrollment ID: O20220321000263

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. Madison Kimbrell 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
Madison Kimbrell, MSW QMHP 101 Oliver St, Vienna, IL 62995-1660 Ph: (618) 658-2611	Madison Kimbrell, MSW QMHP 101 Oliver St, Vienna, IL 62995-1660 Ph: (618) 658-2611

Reviews and Comments

Counselor in Vienna, IL

Ms. Jennifer Martin, MS QMRP Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501
Raelyn Melton, BSW, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501
Regaina Madden, MSW QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501
Rose Arvieux, BA, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Oliver St, Vienna, IL 62995 Phone: 618-658-3079 Fax: 618-658-2501
Mr. Gregory Glenn Lence, BA MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine St, Vienna, IL 62995 Phone: 618-658-2611 Fax: 618-658-2501
Karen Sue Brown Wright, BS MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 408 E Vine St, Vienna, IL 62995 Phone: 618-658-2611

Madison Kimbrell, MSW QMHP - Medicare Counselor in Vienna, IL