Kimberly V Terrell, RD is a medicare enrolled "Dietitian, Registered" provider in Clayton, Georgia. Her current practice location is
196 Ridgecrest Cir, Clayton, Georgia. You can reach out to her office (for appointments etc.) via phone at
(706) 782-4233.
Kimberly V Terrell is licensed to practice in Georgia (license number LD002241) 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 1841569993.
Healthcare Provider's Profile
| Full Name | Kimberly V Terrell |
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| Gender | Female |
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| Speciality | Dietitian, Registered |
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| Location | 196 Ridgecrest Cir, Clayton, Georgia |
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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: 1841569993
- Provider Enumeration Date: 12/19/2011
- Last Update Date: 12/19/2011
Medicare PECOS Information:
- PECOS PAC ID: 9234306465
- Enrollment ID: I20120111000603
Medical Identifiers
Medical identifiers for Kimberly V Terrell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841569993 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 133V00000X | Dietitian, Registered | LD002241 (Georgia) | 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 V Terrell allows following entities to bill medicare on her behalf.
| Provider Name | Professional Resources Management Of Rabun,llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1326191180
PECOS PAC ID: 1052342854
Enrollment ID: O20050822000836 |
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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 V Terrell 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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Kimberly V Terrell, RD
5303 Vaughn Rd,
Montgomery, AL 36116-1120
Ph: (334) 386-0378 | Kimberly V Terrell, RD
196 Ridgecrest Cir,
Clayton, GA 30525-4111
Ph: (706) 782-4233 |
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