Ms Kimberly D Austin Puleio, LICSW LADC is a medicare enrolled "Social Worker - Clinical" provider in Hyde Park, Vermont. Her current practice location is
111 Main St, Hyde Park, Vermont. You can reach out to her office (for appointments etc.) via phone at
(802) 888-6215.
Ms Kimberly D Austin Puleio is licensed to practice in Vermont (license number 089-0001092) 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 1497812739.
Healthcare Provider's Profile
| Full Name | Ms Kimberly D Austin Puleio |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 111 Main St, Hyde Park, Vermont |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1497812739
- Provider Enumeration Date: 01/03/2007
- Last Update Date: 06/12/2009
Medicare PECOS Information:
- PECOS PAC ID: 4486750718
- Enrollment ID: I20070503000312
Medical Identifiers
Medical identifiers for Ms Kimberly D Austin Puleio such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1497812739 | NPI | - | NPPES |
| 1012955 | Medicaid | VT | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 000367 (Vermont) | Secondary |
| 1041C0700X | Social Worker - Clinical | 089-0001092 (Vermont) | Primary |
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. Ms Kimberly D Austin Puleio 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 |
|---|
Ms Kimberly D Austin Puleio, LICSW LADC
101 Commonwealth Ave,
Hyde Park, VT 05655-9411
Ph: (802) 888-3314 | Ms Kimberly D Austin Puleio, LICSW LADC
111 Main St,
Hyde Park, VT 05655
Ph: (802) 888-6215 |
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