Mrs Kimberly Nell Averett, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Diamondhead, Mississippi. Her current practice location is
899 Hanalei Cir, Diamondhead, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(504) 439-4011.
Mrs Kimberly Nell Averett is licensed to practice in Texas (license number 112284) 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 1063084713.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Nell Averett |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 899 Hanalei Cir, Diamondhead, Mississippi |
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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: 1063084713
- Provider Enumeration Date: 07/13/2021
- Last Update Date: 01/10/2024
Medicare PECOS Information:
- PECOS PAC ID: 8426409640
- Enrollment ID: I20240111002511
Medical Identifiers
Medical identifiers for Mrs Kimberly Nell Averett such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063084713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | C8898 (Mississippi) | Secondary |
1041C0700X | Social Worker - Clinical | 112284 (Texas) | 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 Nell Averett allows following entities to bill medicare on her behalf.
Entity Name | Texas Health Virtual Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1942951199 PECOS PAC ID: 5991176356 Enrollment ID: O20230121000123 |
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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 Nell Averett 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 Nell Averett, LCSW 899 Hanalei Circle, Diamondhead, MS 39525 Ph: (504) 439-4011 | Mrs Kimberly Nell Averett, LCSW 899 Hanalei Cir, Diamondhead, MS 39525 Ph: (504) 439-4011 |
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