Dr Kim Michelle Albridge, MD is a medicare enrolled "Dermatology" physician in Beaver Dam, Wisconsin. She went to Stanford University School Of Medicine and graduated in 1990 and has 34 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Csi Medical Group and her current practice location is
109 Warren St Ste 1, Beaver Dam, Wisconsin. You can reach out to her office (for appointments etc.) via phone at
(920) 885-2622.
Dr Kim Michelle Albridge is licensed to practice in California (license number G72020) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1699842310.
Physician's Profile
| Full Name | Dr Kim Michelle Albridge |
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| Gender | Female |
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| Speciality | Dermatology |
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| Experience | 34 Years |
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| Location | 109 Warren St Ste 1, Beaver Dam, Wisconsin |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kim Michelle Albridge attended and graduated from Stanford University School Of Medicine in 1990
NPI Data:
- NPI Number: 1699842310
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 03/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 6901952944
- Enrollment ID: I20090916000739
Medical Identifiers
Medical identifiers for Dr Kim Michelle Albridge such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1699842310 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207N00000X | Dermatology | 73598-20 (Wisconsin) | Secondary |
| 207N00000X | Dermatology | G72020 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Csi Medical Group | 5890916845 | 100 |
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. Dr Kim Michelle Albridge allows following entities to bill medicare on her behalf.
| Entity Name | Csi Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871909804
PECOS PAC ID: 5890916845
Enrollment ID: O20141016001930 |
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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. Dr Kim Michelle Albridge 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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Dr Kim Michelle Albridge, MD
801 York St,
Manitowoc, WI 54220-4630
Ph: (920) 663-9008 | Dr Kim Michelle Albridge, MD
109 Warren St Ste 1,
Beaver Dam, WI 53916-3082
Ph: (920) 885-2622 |
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