Dr Kimi L Dart, DO is a medicare enrolled "Otolaryngology - Facial Plastic Surgery" physician in Lake Jackson, Texas. She went to University Of North Texas Hsc, College Of Osteopathic Med and graduated in 2007 and has 17 years of diverse experience with area of expertise as Otolaryngology. Her current practice location is
215 Oak Dr S Ste E, Lake Jackson, Texas. You can reach out to her office (for appointments etc.) via phone at
(979) 258-5445.
Dr Kimi L Dart is licensed to practice in Texas (license number P6804) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1881887867.
Physician's Profile
| Full Name | Dr Kimi L Dart |
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| Gender | Female |
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| Speciality | Otolaryngology |
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| Experience | 17 Years |
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| Location | 215 Oak Dr S Ste E, Lake Jackson, Texas |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimi L Dart attended and graduated from University Of North Texas Hsc, College Of Osteopathic Med in 2007
NPI Data:
- NPI Number: 1881887867
- Provider Enumeration Date: 08/22/2007
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052551611
- Enrollment ID: I20130703000194
Medical Identifiers
Medical identifiers for Dr Kimi L Dart such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1881887867 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207YS0123X | Otolaryngology - Facial Plastic Surgery | 5101017258 (Michigan) | Secondary |
| 207YS0123X | Otolaryngology - Facial Plastic Surgery | P6804 (Texas) | Primary |
Medical Facilities Affiliation
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 Kimi L Dart allows following entities to bill medicare on her behalf.
| Entity Name | Kimi Dart, Do, Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265017115
PECOS PAC ID: 6002224268
Enrollment ID: O20210428001025 |
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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 Kimi L Dart 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 Kimi L Dart, DO
215 Oak Dr S Ste E,
Lake Jackson, TX 77566-5617
Ph: (979) 258-5445 | Dr Kimi L Dart, DO
215 Oak Dr S Ste E,
Lake Jackson, TX 77566-5617
Ph: (979) 258-5445 |
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