Richard William Kimmerling, MD is a
General Practice physician based in Acworth, Georgia. Richard William Kimmerling is licensed to practice in Georgia (license number 11710) and his current practice location is 5610 Forkwood Dr Nw, Acworth, Georgia. He can be reached at his office (for appointments etc.) via phone at
(770) 590-8915.
NPI number for Richard William Kimmerling is 1174626543 and his current mailing address is 5610 Forkwood Dr Nw, Acworth, Georgia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1174626543.
Physician's Profile
| Full Name | Richard William Kimmerling |
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| Gender | Male |
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| Speciality | General Practice |
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| Location | 5610 Forkwood Dr Nw, Acworth, Georgia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1174626543
- Provider Enumeration Date: 09/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Richard William Kimmerling such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1174626543 | NPI | - | NPPES |
| 10047230 | Other | | AMERIGREEN |
| 00068054A | Medicaid | GA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208D00000X | General Practice | 11710 (Georgia) | 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. Richard William Kimmerling 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 |
|---|
Richard William Kimmerling, MD
5610 Forkwood Dr Nw,
Acworth, GA 30101-8023
Ph: (770) 590-8915 | Richard William Kimmerling, MD
5610 Forkwood Dr Nw,
Acworth, GA 30101-8023
Ph: (770) 590-8915 |
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