Brooks David Kimmis, MD, MAY 2018 is a medicare enrolled "Dermatology" physician in E Greenwich, Rhode Island. His current practice location is
1672 S County Trl, E Greenwich, Rhode Island. You can reach out to his office (for appointments etc.) via phone at
(401) 715-2217.
Brooks David Kimmis is licensed to practice in Rhode Island (license number MD18034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043715659.
Physician's Profile
Full Name | Brooks David Kimmis |
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Gender | Male |
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Speciality | Dermatology |
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Location | 1672 S County Trl, E Greenwich, Rhode Island |
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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: 1043715659
- Provider Enumeration Date: 03/26/2018
- Last Update Date: 06/06/2022
Medicare PECOS Information:
- PECOS PAC ID: 6901155506
- Enrollment ID: I20220727000852
Medical Identifiers
Medical identifiers for Brooks David Kimmis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043715659 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207N00000X | Dermatology | MD18034 (Rhode Island) | 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. Brooks David Kimmis allows following entities to bill medicare on his behalf.
Entity Name | Dermatology Professionals Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902040835 PECOS PAC ID: 9234283953 Enrollment ID: O20090814000486 |
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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. Brooks David Kimmis 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 |
Brooks David Kimmis, MD, MAY 2018 1672 S County Trl, E Greenwich, RI 02818-5098 Ph: (401) 715-2217 | Brooks David Kimmis, MD, MAY 2018 1672 S County Trl, E Greenwich, RI 02818-5098 Ph: (401) 715-2217 |
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