Mrs Kimberly Sue Weiss, PA is a medicare enrolled "Physician Assistant - Medical" in Clarksville, Maryland. She graduated from nursing school in 1994 and has 30 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Lifebridge Medical Associates Llc and her current practice location is
6355 Ten Oaks Rd, Suite 202, Clarksville, Maryland. You can reach out to her office (for appointments etc.) via phone at
(410) 531-1440.
Mrs Kimberly Sue Weiss is licensed to practice in Maryland (license number C0001240) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1376789859.
Provider's Profile
Full Name | Mrs Kimberly Sue Weiss |
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Gender | Female |
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Speciality | Physician Assistant |
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Experience | 30 Years |
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Location | 6355 Ten Oaks Rd, Clarksville, Maryland |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kimberly Sue Weiss graduated from nursing school in 1994
NPI Data:
- NPI Number: 1376789859
- Provider Enumeration Date: 01/05/2009
- Last Update Date: 06/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 0143406165
- Enrollment ID: I20160111000157
Medical Identifiers
Medical identifiers for Mrs Kimberly Sue Weiss such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376789859 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363AM0700X | Physician Assistant - Medical | C0001240 (Maryland) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Lifebridge Medical Associates Llc | 0446470165 | 14 |
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 Sue Weiss 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 Sue Weiss, PA 4801 Dorsey Hall Dr Ste 201, Ellicott City, MD 21042-7749 Ph: (410) 997-4780 | Mrs Kimberly Sue Weiss, PA 6355 Ten Oaks Rd, Suite 202, Clarksville, MD 21029-1185 Ph: (410) 531-1440 |
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