Ms Kimberly Davis, PLPC is a medicare enrolled "Counselor - Mental Health" provider in Dupo, Illinois. Her current practice location is
1401 Muskopf Pl, Dupo, Illinois. You can reach out to her office (for appointments etc.) via phone at
(504) 650-6299.
Ms Kimberly Davis is licensed to practice in Missouri (license number 2023035096) 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 1083379648.
Healthcare Provider's Profile
Full Name | Ms Kimberly Davis |
---|
Gender | Female |
---|
Speciality | Counselor - Mental Health |
---|
Location | 1401 Muskopf Pl, Dupo, Illinois |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1083379648
- Provider Enumeration Date: 11/08/2021
- Last Update Date: 01/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 9335674894
- Enrollment ID: I20241121001473
Medical Identifiers
Medical identifiers for Ms Kimberly Davis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083379648 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 7843 (Louisiana) | Secondary |
101YM0800X | Counselor - Mental Health | 2023035096 (Missouri) | 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. Ms Kimberly Davis allows following entities to bill medicare on her behalf.
Entity Name | Always Hope Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1437766573 PECOS PAC ID: 4981025590 Enrollment ID: O20221110000869 |
---|
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 Davis 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 Davis, PLPC 1401 Muskopf Pl, Dupo, IL 62239-1450 Ph: (504) 650-6299 | Ms Kimberly Davis, PLPC 1401 Muskopf Pl, Dupo, IL 62239-1450 Ph: (504) 650-6299 |
Reviews and Comments