Mrs Kimberly Basilla Scott, PA-C in Los Angeles, CA

Mrs Kimberly Basilla Scott, PA-C is a medicare enrolled "Physician Assistant" in Los Angeles, California. Her current practice location is 1505 N Edgemont St, 4th Floor, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 783-4703.

Mrs Kimberly Basilla Scott is licensed to practice in California (license number PA 19376) 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 1881881985.

Contact Information

	Mrs Kimberly Basilla Scott, PA-C
	1505 N Edgemont St, 4th Floor, Los Angeles, CA 90027-5209
	(323) 783-4703
	Not Available

Map and Direction

Provider's Profile

Full Name	Mrs Kimberly Basilla Scott
Gender	Female
Speciality	Physician Assistant
Location	1505 N Edgemont St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1881881985
Provider Enumeration Date: 10/02/2007
Last Update Date: 12/23/2021

Medicare PECOS Information:

PECOS PAC ID: 5395824189
Enrollment ID: I20080505000749

Medical Identifiers

Medical identifiers for Mrs Kimberly Basilla Scott such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881881985	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA 19376 (California)	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. Mrs Kimberly Basilla Scott 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
Mrs Kimberly Basilla Scott, PA-C 1505 N. Edgemont Street, 4th Floor, Los Angeles, CA 90027 Ph: (323) 783-4704	Mrs Kimberly Basilla Scott, PA-C 1505 N Edgemont St, 4th Floor, Los Angeles, CA 90027-5209 Ph: (323) 783-4703

Reviews and Comments

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Mrs Kimberly Basilla Scott, PA-C - Medicare Physician Assistant in Los Angeles, CA