Kimberly Collins, RDN, CDCES, CEDS-S is a medicare enrolled "Dietitian, Registered" provider in Waddell, Arizona. Her current practice location is
8316 N 177th Ave, Waddell, Arizona. You can reach out to her office (for appointments etc.) via phone at
(623) 202-3098.
Kimberly Collins is licensed to practice in Arizona (license number 922652) 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 1760805436.
Healthcare Provider's Profile
Full Name | Kimberly Collins |
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Gender | Female |
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Speciality | Dietitian, Registered |
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Location | 8316 N 177th Ave, Waddell, Arizona |
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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: 1760805436
- Provider Enumeration Date: 01/30/2014
- Last Update Date: 04/05/2022
Medicare PECOS Information:
- PECOS PAC ID: 6800027632
- Enrollment ID: I20230505000607
Medical Identifiers
Medical identifiers for Kimberly Collins such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1760805436 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
133V00000X | Dietitian, Registered | 922652 (Arizona) | 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. Kimberly Collins allows following entities to bill medicare on her behalf.
Provider Name | Openloop Healthcare Partners Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1245820661 PECOS PAC ID: 2668871898 Enrollment ID: O20210923003392 |
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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. Kimberly Collins 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 |
Kimberly Collins, RDN, CDCES, CEDS-S 8316 N 177th Ave, Waddell, AZ 85355-9352 Ph: (623) 202-3098 | Kimberly Collins, RDN, CDCES, CEDS-S 8316 N 177th Ave, Waddell, AZ 85355-9352 Ph: (623) 202-3098 |
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