Kimberly M Pezzone, MD - Medicare Pediatrics in Oakdale, PA

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Kimberly M Pezzone, MD is a medicare enrolled "Pediatrics" physician in Oakdale, Pennsylvania. Her current practice location is 400 Market Place Dr, Oakdale, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (724) 281-1931.

Kimberly M Pezzone is licensed to practice in Pennsylvania (license number MD051032L) 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 1205835691.

Contact Information

Kimberly M Pezzone, MD
400 Market Place Dr,
Oakdale, PA 15071-4007
(724) 281-1931
(724) 218-1934

Map and Direction




Physician's Profile

Full NameKimberly M Pezzone
GenderFemale
SpecialityPediatrics
Location400 Market Place Dr, Oakdale, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1205835691
  • Provider Enumeration Date: 07/18/2005
  • Last Update Date: 01/04/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062700651
  • Enrollment ID: I20191202000930

Medical Identifiers

Medical identifiers for Kimberly M Pezzone such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1205835691NPI-NPPES
0014505000004MedicaidPA
ME128166OtherFLFLORIDA LICENSE
018997300MedicaidFL

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics MD051032L (Pennsylvania)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. Kimberly M Pezzone allows following entities to bill medicare on her behalf.
Entity NameWmc Physician Practices Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518303288
PECOS PAC ID: 0244466753
Enrollment ID: O20131114000629

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. Kimberly M Pezzone 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 AddressPractice Location Address
Kimberly M Pezzone, MD
651 Colliers Way Ste 300,
Weirton, WV 26062-5058

Ph: (304) 797-6404		Kimberly M Pezzone, MD
400 Market Place Dr,
Oakdale, PA 15071-4007

Ph: (724) 281-1931

Reviews and Comments


Pediatrics Doctors in Oakdale, PA

Jennifer Zatezalo, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 400 Market Place Dr, Oakdale, PA 15071
Phone: 724-218-1931    Fax: 724-218-1934

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.