Kim Marie Waterhouse, MD is a medicare enrolled "Allergy & Immunology - Allergy" physician in O Fallon, Missouri. She went to University Of Missouri, Kansas City, School Of Medicine and graduated in 2006 and has 18 years of diverse experience with area of expertise as Allergy/immunology. She is a member of the group practice Allergy, Asthma And Sinus Care Center, Llc and her current practice location is
1101 Highway K, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at
(636) 379-6363.
Kim Marie Waterhouse is licensed to practice in Missouri (license number 2009005694) 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 1730384322.
Physician's Profile
| Full Name | Kim Marie Waterhouse |
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| Gender | Female |
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| Speciality | Allergy/immunology |
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| Experience | 18 Years |
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| Location | 1101 Highway K, O Fallon, Missouri |
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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:
- Kim Marie Waterhouse attended and graduated from University Of Missouri, Kansas City, School Of Medicine in 2006
NPI Data:
- NPI Number: 1730384322
- Provider Enumeration Date: 06/15/2007
- Last Update Date: 11/12/2020
Medicare PECOS Information:
- PECOS PAC ID: 4981875408
- Enrollment ID: I20110913000918
Medical Identifiers
Medical identifiers for Kim Marie Waterhouse such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1730384322 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 208000000X | Pediatrics | 2009005694 (Missouri) | Secondary |
| 207KA0200X | Allergy & Immunology - Allergy | 2009005694 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Allergy, Asthma And Sinus Care Center, Llc | 5092817502 | 7 |
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. Kim Marie Waterhouse allows following entities to bill medicare on her behalf.
| Entity Name | Allergy, Asthma & Sinus Care Center, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1417034695
PECOS PAC ID: 5092817502
Enrollment ID: O20070301000043 |
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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. Kim Marie Waterhouse 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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Kim Marie Waterhouse, MD
Po Box 955534,
Saint Louis, MO 63195-5534
Ph: () - | Kim Marie Waterhouse, MD
1101 Highway K,
O Fallon, MO 63366-8431
Ph: (636) 379-6363 |
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