Ms Kimberly Kroh, LPCC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" provider in North Canton, Ohio. Her current practice location is
1201 S Main St Ste 100, North Canton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 244-8782.
Ms Kimberly Kroh is licensed to practice in Ohio (license number APRN.CNP.0037187) 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 1093921355.
Healthcare Provider's Profile
| Full Name | Ms Kimberly Kroh |
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| Gender | Female |
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| Speciality | Nurse Practitioner - Psychiatric/mental Health |
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| Location | 1201 S Main St Ste 100, North Canton, Ohio |
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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: 1093921355
- Provider Enumeration Date: 05/15/2007
- Last Update Date: 08/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 4789118605
- Enrollment ID: I20241114000191
Medical Identifiers
Medical identifiers for Ms Kimberly Kroh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093921355 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YP2500X | Counselor - Professional | E. 0003370 (Ohio) | Secondary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | APRN.CNP.0037187 (Ohio) | 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 Kroh allows following entities to bill medicare on her behalf.
| Entity Name | Vista Psychological & Counseling Centre Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558535658
PECOS PAC ID: 2365517836
Enrollment ID: O20080818000573 |
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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. Ms Kimberly Kroh 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 Kroh, LPCC
1201 S Main St Ste 100,
North Canton, OH 44720-4283
Ph: (330) 418-7069 | Ms Kimberly Kroh, LPCC
1201 S Main St Ste 100,
North Canton, OH 44720-4283
Ph: (330) 244-8782 |
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