Kimberly Teresa Fountain, MD,MS in Augusta, GA

Kimberly Teresa Fountain, MD,MS is a medicare enrolled "Internal Medicine" physician in Augusta, Georgia. Her current practice location is Gru, 1120 15th Street, Augusta, Georgia. You can reach out to her office (for appointments etc.) via phone at (706) 834-0190.

Kimberly Teresa Fountain is licensed to practice in Tennessee (license number 207R0000X) 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 1740419688.

Contact Information

	Kimberly Teresa Fountain, MD,MS
	Gru, 1120 15th Street, Augusta, GA 30912-0001
	(706) 834-0190
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Teresa Fountain
Gender	Female
Speciality	Internal Medicine
Location	Gru, Augusta, Georgia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1740419688
Provider Enumeration Date: 07/14/2009
Last Update Date: 07/07/2015

Medicare PECOS Information:

PECOS PAC ID: 2567750292
Enrollment ID: I20221101000987

Medical Identifiers

Medical identifiers for Kimberly Teresa Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1740419688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	207R0000X (Tennessee)	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 Teresa Fountain allows following entities to bill medicare on her behalf.

Entity Name	Rural Health Medical Program, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1437238151 PECOS PAC ID: 0143219196 Enrollment ID: O20040506001178

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 Teresa Fountain 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
Kimberly Teresa Fountain, MD,MS 450 Railroad Ave, Ste 1-d, North Augusta, SC 29841-3782 Ph: (801) 671-0933	Kimberly Teresa Fountain, MD,MS Gru, 1120 15th Street, Augusta, GA 30912-0001 Ph: (706) 834-0190

Reviews and Comments

Internal Medicine Doctors in Augusta, GA

Dr. Bryan Richard Broach, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623
Dr. Kayla Ashley Shahbazian, DO Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-8623 Fax: 706-721-1459
Dr. Harvey Schwartz, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273
Dr. Anam Asif Herekar, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2423
Haley Sorensen, DO Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3186
Dr. Robert Allen Price, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239
Matthew Kevin Howard, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 818 Saint Sebastian Way, Suite 311, Augusta, GA 30901 Phone: 706-724-3473

Kimberly Teresa Fountain, MD,MS - Medicare Internal Medicine in Augusta, GA