Kimberly Theresa Mcclintock-walla, NP is a
Nurse Practitioner - Adult Health physician based in Pearl River, New York. Kimberly Theresa Mcclintock-walla is licensed to practice in New York (license number 311577) and her current practice location is 67 S Main St, Pearl River, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 368-0800.
NPI number for Kimberly Theresa Mcclintock-walla is 1750163705 and her current mailing address is 67 S Main St, Pearl River, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1750163705.
Physician's Profile
| Full Name | Kimberly Theresa Mcclintock-walla |
|---|
| Gender | Female |
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| Speciality | Nurse Practitioner - Adult Health |
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| Location | 67 S Main St, Pearl River, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1750163705
- Provider Enumeration Date: 10/16/2023
- Last Update Date: 10/16/2023
Medical Identifiers
Medical identifiers for Kimberly Theresa Mcclintock-walla such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1750163705 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208VP0000X | Pain Medicine - Pain Medicine | 311577 (New York) | Secondary |
| 363LA2200X | Nurse Practitioner - Adult Health | 311577 (New York) | Primary |
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 Theresa Mcclintock-walla is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kimberly Theresa Mcclintock-walla, NP
67 S Main St,
Pearl River, NY 10965-2444
Ph: (845) 368-0800 | Kimberly Theresa Mcclintock-walla, NP
67 S Main St,
Pearl River, NY 10965-2444
Ph: (845) 368-0800 |
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