Kaley Mims, CAA is a medicare enrolled "Anesthesiologist Assistant" in Shenandoah, Texas. Her current practice location is
9250 Pinecroft Dr, Shenandoah, Texas. You can reach out to her office (for appointments etc.) via phone at
(215) 908-3820.
Kaley Mims is licensed to practice in Texas (license number ) 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 1467142059.
Provider's Profile
| Full Name | Kaley Mims |
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| Gender | Female |
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| Speciality | Anesthesiologist Assistant |
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| Location | 9250 Pinecroft Dr, Shenandoah, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467142059
- Provider Enumeration Date: 05/09/2023
- Last Update Date: 05/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 4183088941
- Enrollment ID: I20230912002187
Medical Identifiers
Medical identifiers for Kaley Mims such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467142059 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 367H00000X | Anesthesiologist Assistant | (Texas) | 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. Kaley Mims allows following entities to bill medicare on her behalf.
| Entity Name | U S Anesthesia Partners Of Texas, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548208564
PECOS PAC ID: 7315850351
Enrollment ID: O20031106000563 |
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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. Kaley Mims 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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Kaley Mims, CAA
27602 Balcones Heights Blvd,
Fulshear, TX 77441-1570
Ph: () - | Kaley Mims, CAA
9250 Pinecroft Dr,
Shenandoah, TX 77380-3218
Ph: (215) 908-3820 |
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