Ms Kimberly J Hammon, MS RD LDN is a medicare enrolled "Dietitian, Registered" in Arlington Heights, Illinois. She graduated from nursing school in 1995 and has 29 years of diverse experience with area of expertise as Registered Dietitian Or Nutrition Professional. She is a member of the group practice Endeavor Health Medical Group and her current practice location is
1410 N Arlington Heights Rd Ste 200, Arlington Heights, Illinois. You can reach out to her office (for appointments etc.) via phone at
(847) 618-1640.
Ms Kimberly J Hammon is licensed to practice in Illinois (license number 164000434) 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 1104083799.
Provider's Profile
| Full Name | Ms Kimberly J Hammon |
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| Gender | Female |
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| Speciality | Registered Dietitian Or Nutrition Professional |
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| Experience | 29 Years |
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| Location | 1410 N Arlington Heights Rd Ste 200, Arlington Heights, Illinois |
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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. |
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Medical Education and Training:
- Ms Kimberly J Hammon graduated from nursing school in 1995
NPI Data:
- NPI Number: 1104083799
- Provider Enumeration Date: 05/21/2008
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 1951472653
- Enrollment ID: I20080624000724
Medical Identifiers
Medical identifiers for Ms Kimberly J Hammon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104083799 | NPI | - | NPPES |
| 164000434 | Other | IL | STATE LICENSE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 163WD0400X | Registered Nurse - Diabetes Educator | 164000434 (Illinois) | Secondary |
| 133V00000X | Dietitian, Registered | 164000434 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Endeavor Health Medical Group | 2163334699 | 2710 |
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. Ms Kimberly J Hammon allows following entities to bill medicare on her behalf.
| Entity Name | Northshore University Healthsystem Faculty Practice Associates |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1497701882
PECOS PAC ID: 2163334699
Enrollment ID: O20040524000118 |
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| Entity Name | Northwest Community Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134433154
PECOS PAC ID: 3375737331
Enrollment ID: O20101103000837 |
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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. Ms Kimberly J Hammon 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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Ms Kimberly J Hammon, MS RD LDN
1410 N Arlington Heights Rd Ste 200,
Arlington Heights, IL 60004-4827
Ph: (847) 618-1640 | Ms Kimberly J Hammon, MS RD LDN
1410 N Arlington Heights Rd Ste 200,
Arlington Heights, IL 60004-4827
Ph: (847) 618-1640 |
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