Ms Kimberly Rose Chapman, PHD is a medicare enrolled "Psychologist - Clinical" provider in Providence, Rhode Island. Her current practice location is
146 W River St Ste 11a, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 793-4006.
Ms Kimberly Rose Chapman is licensed to practice in Rhode Island (license number PS02132) 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 1821655226.
Healthcare Provider's Profile
| Full Name | Ms Kimberly Rose Chapman |
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| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 146 W River St Ste 11a, Providence, Rhode Island |
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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: 1821655226
- Provider Enumeration Date: 05/22/2019
- Last Update Date: 05/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 5294184305
- Enrollment ID: I20231214003386
Medical Identifiers
Medical identifiers for Ms Kimberly Rose Chapman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1821655226 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS02132 (Rhode Island) | 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 Rose Chapman allows following entities to bill medicare on her behalf.
| Entity Name | Lifespan Physician Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548506793
PECOS PAC ID: 2567455082
Enrollment ID: O20130528000089 |
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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 Rose Chapman 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 Rose Chapman, PHD
146 W River St Ste 11a,
Providence, RI 02904-2609
Ph: (401) 793-4006 | Ms Kimberly Rose Chapman, PHD
146 W River St Ste 11a,
Providence, RI 02904-2609
Ph: (401) 793-4006 |
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