Beverly A Kimball, PA-C is a
Physician Assistant physician based in Rice Lake, Wisconsin. Beverly A Kimball is licensed to practice in Wisconsin (license number 225-023) and her current practice location is 1700 W Stout St, Rice Lake, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(715) 236-8100.
NPI number for Beverly A Kimball is 1245293463 and her current mailing address is 1000 N Oak Ave, Marshfield, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1245293463.
Physician's Profile
| Full Name | Beverly A Kimball |
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| Gender | Female |
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| Speciality | Physician Assistant |
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| Location | 1700 W Stout St, Rice Lake, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1245293463
- Provider Enumeration Date: 04/10/2006
- Last Update Date: 07/07/2010
Medical Identifiers
Medical identifiers for Beverly A Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1245293463 | NPI | - | NPPES |
| 843159100 | Medicaid | MN | |
| 41935200 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | 8905 (Minnesota) | Secondary |
| 363A00000X | Physician Assistant | 225-023 (Wisconsin) | Primary |
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. Beverly A Kimball is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Beverly A Kimball, PA-C
1000 N Oak Ave,
Marshfield, WI 54449-5703
Ph: (715) 387-5511 | Beverly A Kimball, PA-C
1700 W Stout St,
Rice Lake, WI 54868-5000
Ph: (715) 236-8100 |
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