Dr Kimberly Welty Mcdonald, MD is a medicare enrolled "Preventive Medicine - Public Health & General Preventive Medicine" physician in Apex, North Carolina. Her current practice location is
2034 Creekside Landing Dr, Apex, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(252) 717-7291.
Dr Kimberly Welty Mcdonald is licensed to practice in North Carolina (license number 2005-01324) 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 1053313064.
Physician's Profile
Full Name | Dr Kimberly Welty Mcdonald |
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Gender | Female |
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Speciality | Preventive Medicine - Public Health & General Preventive Medicine |
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Location | 2034 Creekside Landing Dr, Apex, North Carolina |
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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: 1053313064
- Provider Enumeration Date: 08/10/2005
- Last Update Date: 12/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 4880508662
- Enrollment ID: I20140114000803
Medical Identifiers
Medical identifiers for Dr Kimberly Welty Mcdonald such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053313064 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2083P0901X | Preventive Medicine - Public Health & General Preventive Medicine | 2005-01324 (North Carolina) | Primary |
208D00000X | General Practice | 2005-01324 (North Carolina) | Secondary |
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 Welty Mcdonald allows following entities to bill medicare on her behalf.
Entity Name | County Of Wake |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295761617 PECOS PAC ID: 6305759952 Enrollment ID: O20031110000389 |
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Entity Name | Signify Health Medical Associates Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20191001003503 |
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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 Welty Mcdonald 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 |
Dr Kimberly Welty Mcdonald, MD 2515 Anderson Dr, Raleigh, NC 27608-1407 Ph: (252) 717-7291 | Dr Kimberly Welty Mcdonald, MD 2034 Creekside Landing Dr, Apex, NC 27502-3982 Ph: (252) 717-7291 |
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