Mrs Kimberly Ann Herring, MA, LPA, LPC is a medicare enrolled "Psychologist - Counseling" provider in Fayetteville, North Carolina. Her current practice location is
901 Arsenal Ave Ste 202e, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 323-3368.
Mrs Kimberly Ann Herring is licensed to practice in North Carolina (license number 1769) 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 1811087919.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Ann Herring |
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Gender | Female |
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Speciality | Psychologist - Counseling |
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Location | 901 Arsenal Ave Ste 202e, Fayetteville, North Carolina |
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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: 1811087919
- Provider Enumeration Date: 10/13/2006
- Last Update Date: 07/17/2014
Medicare PECOS Information:
- PECOS PAC ID: 6800232554
- Enrollment ID: I20240315002806
Medical Identifiers
Medical identifiers for Mrs Kimberly Ann Herring such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811087919 | NPI | - | NPPES |
6107002 | Medicaid | NC | |
13235 | Other | NC | BUE CROSS BLUE SHIELD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 4067 LPC (North Carolina) | Secondary |
103TC1900X | Psychologist - Counseling | 1769 (North Carolina) | 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. Mrs Kimberly Ann Herring allows following entities to bill medicare on her behalf.
Entity Name | Biblical Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629233887 PECOS PAC ID: 7315183407 Enrollment ID: O20130416000225 |
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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. Mrs Kimberly Ann Herring 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 |
Mrs Kimberly Ann Herring, MA, LPA, LPC 3411 Brushy Hill Rd, Fayetteville, NC 28306-5662 Ph: (910) 426-6920 | Mrs Kimberly Ann Herring, MA, LPA, LPC 901 Arsenal Ave Ste 202e, Fayetteville, NC 28305-5398 Ph: (910) 323-3368 |
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