Dr Kimberly Maria Walton-verner, MD is a medicare enrolled "Pediatrics" physician in Ford Heights, Illinois. Her current practice location is
1645 Cottage Grove Ave, Ford Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(708) 753-5800.
Dr Kimberly Maria Walton-verner is licensed to practice in Illinois (license number 036097904) 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 1912921081.
Physician's Profile
| Full Name | Dr Kimberly Maria Walton-verner |
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| Gender | Female |
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| Speciality | Pediatrics |
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| Location | 1645 Cottage Grove Ave, Ford Heights, Illinois |
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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: 1912921081
- Provider Enumeration Date: 07/26/2006
- Last Update Date: 05/04/2021
Medicare PECOS Information:
- PECOS PAC ID: 0042495822
- Enrollment ID: I20110420000382
Medical Identifiers
Medical identifiers for Dr Kimberly Maria Walton-verner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1912921081 | NPI | - | NPPES |
| 036097904 | Other | IL | STATE MEDICAL LICENSE NUM |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 036097904 (Illinois) | 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. Dr Kimberly Maria Walton-verner allows following entities to bill medicare on her behalf.
| Entity Name | Cook County |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588612832
PECOS PAC ID: 2860398088
Enrollment ID: O20031209000747 |
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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 Kimberly Maria Walton-verner 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 Kimberly Maria Walton-verner, MD
1645 Cottage Grove Ave,
Ford Heights, IL 60411-3818
Ph: (708) 753-5800 | Dr Kimberly Maria Walton-verner, MD
1645 Cottage Grove Ave,
Ford Heights, IL 60411-3818
Ph: (708) 753-5800 |
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