Amy Kimberlain, RD is a medicare enrolled "Dietitian, Registered" provider in Pinecrest, Florida. Her current practice location is
13101 S Dixie Hwy Ste 420, Pinecrest, Florida. You can reach out to her office (for appointments etc.) via phone at
(786) 204-4203.
Amy Kimberlain is licensed to practice in Florida (license number ND4575) 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 1609291194.
Healthcare Provider's Profile
| Full Name | Amy Kimberlain |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 13101 S Dixie Hwy Ste 420, Pinecrest, Florida |
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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: 1609291194
- Provider Enumeration Date: 02/20/2014
- Last Update Date: 11/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 0143451468
- Enrollment ID: I20140328001422
Medical Identifiers
Medical identifiers for Amy Kimberlain such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1609291194 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | ND4575 (Florida) | 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. Amy Kimberlain allows following entities to bill medicare on her behalf.
| Provider Name | Baptist Health Medical Group Physicians Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1891893343
PECOS PAC ID: 3870696933
Enrollment ID: O20070309000135 |
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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. Amy Kimberlain 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 |
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Amy Kimberlain, RD
Po Box 198054,
Atlanta, GA 30384-8054
Ph: (786) 204-4203 | Amy Kimberlain, RD
13101 S Dixie Hwy Ste 420,
Pinecrest, FL 33156-6530
Ph: (786) 204-4203 |
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