Jacquelyn Renae Kimball, MD in Leeds, MA - Medicare Psychiatry & Neurology

Jacquelyn Renae Kimball, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Leeds, Massachusetts. Her current practice location is 421 N Main St, Leeds, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 584-4040.

Jacquelyn Renae Kimball is licensed to practice in Massachusetts (license number 255263) 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 1881822419.

Contact Information

	Jacquelyn Renae Kimball, MD
	421 N Main St, Leeds, MA 01053-9764
	(413) 584-4040
	Not Available

Map and Direction

Physician's Profile

Full Name	Jacquelyn Renae Kimball
Gender	Female
Speciality	Psychiatry & Neurology - Psychiatry
Location	421 N Main St, Leeds, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881822419
Provider Enumeration Date: 06/22/2009
Last Update Date: 10/10/2023

Medicare PECOS Information:

PECOS PAC ID: 4880836733
Enrollment ID: I20130806000686

Medical Identifiers

Medical identifiers for Jacquelyn Renae Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881822419	NPI	-	NPPES
023060	Other	MA	MBHP
61082	Other	MA	HEALTH NEW ENGLAND
J52483	Other	MA	BCBS OF MA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2084P0800X	Psychiatry & Neurology - Psychiatry	51632 (Connecticut)	Secondary
2084P0800X	Psychiatry & Neurology - Psychiatry	255263 (Massachusetts)	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. Jacquelyn Renae Kimball allows following entities to bill medicare on her behalf.

Entity Name	The Charlotte Hungerford Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629075734 PECOS PAC ID: 4486557501 Enrollment ID: O20040128000183

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. Jacquelyn Renae Kimball 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
Jacquelyn Renae Kimball, MD 421 N Main St, Leeds, MA 01053-9764 Ph: (413) 584-4040	Jacquelyn Renae Kimball, MD 421 N Main St, Leeds, MA 01053-9764 Ph: (413) 584-4040

Reviews and Comments

Psychiatry & Neurology Doctors in Leeds, MA

Steven Gary Kessler, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 421 N. Main St., Northampton Va Medical Center, Leeds, MA 01053 Phone: 413-584-4040
Dr. Arturo Delrosario Monteiro Jr., M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 Fax: 413-582-3023
Jessica E Daniels, MD Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 Fax: 413-345-6951
Dr. Gary Kaskey, M.D. Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Northampton Va Hospital, Leeds, MA 01053 Phone: 413-584-4040
Dr. Mir H Hashimi, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040
Dr. Adam M Mirot, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040 Fax: 413-582-3181
Karen Lewicki, M.D. Psychiatry & Neurology Medicare: Accepting Medicare Assignments Practice Location: 421 N Main St, Leeds, MA 01053 Phone: 413-584-4040

Jacquelyn Renae Kimball, MD - Medicare Psychiatry & Neurology in Leeds, MA