Kimberly H Cardoso, CNM, NP, MS is a medicare enrolled "Midwife" in Berkeley, California. Her current practice location is
2001 Dwight Way, Suite 1363, Berkeley, California. You can reach out to her office (for appointments etc.) via phone at
(510) 204-4666.
Kimberly H Cardoso is licensed to practice in * (Not Available) (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 1760652820.
Provider's Profile
| Full Name | Kimberly H Cardoso |
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| Gender | Female |
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| Speciality | Midwife |
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| Location | 2001 Dwight Way, Berkeley, California |
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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: 1760652820
- Provider Enumeration Date: 03/05/2008
- Last Update Date: 03/27/2014
Medicare PECOS Information:
- PECOS PAC ID: 0143270942
- Enrollment ID: I20150204001743
Medical Identifiers
Medical identifiers for Kimberly H Cardoso such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1760652820 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163W00000X | Registered Nurse | 524159 (California) | Secondary |
| 363L00000X | Nurse Practitioner | 524159 (California) | Secondary |
| 367A00000X | Advanced Practice Midwife | 524159 (California) | Secondary |
| 176B00000X | Midwife | (* (Not Available)) | 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 H Cardoso allows following entities to bill medicare on her behalf.
| Entity Name | Lifelong Medical Care |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689670002
PECOS PAC ID: 2062304538
Enrollment ID: O20050713000704 |
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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. Kimberly H Cardoso 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 H Cardoso, CNM, NP, MS
449 Valle Vista Avenue,
Oakland, CA 94610
Ph: (510) 204-4666 | Kimberly H Cardoso, CNM, NP, MS
2001 Dwight Way, Suite 1363,
Berkeley, CA 94704-2608
Ph: (510) 204-4666 |
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