Dr. Kimberly Parks Od Pllc is a medicare enrolled "Optometrist" provider in White Pine, Tennessee. Their current practice location is
1903 Maple St, White Pine, Tennessee. You can reach out to their office (for appointments etc.) via phone at
(865) 761-0557.
Dr. Kimberly Parks Od Pllc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Dr. Kimberly Parks Od Pllc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1437741758.
Healthcare Provider's Profile
| Full Name | Dr. Kimberly Parks Od Pllc |
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| Type | Facility |
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| Speciality | Optometrist |
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| Location | 1903 Maple St, White Pine, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1437741758
- Provider Enumeration Date: 02/08/2021
- Last Update Date: 07/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648686220
- Enrollment ID: O20210305000166
Medical Identifiers
Medical identifiers for Dr. Kimberly Parks Od Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1437741758 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 152W00000X | Optometrist | (* (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.
Dr. Kimberly Parks Od Pllc acts as a billing entity for following providers:
| Provider Name | Kimberly Rae Parks |
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| Provider Type | Practitioner - Optometry |
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| Provider Identifiers | NPI Number: 1518937663
PECOS PAC ID: 2466868047
Enrollment ID: I20210305000348 |
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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. Dr. Kimberly Parks Od Pllc 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 |
|---|
Dr. Kimberly Parks Od Pllc
3011 Bell Rd,
White Pine, TN 37890-3102
Ph: (865) 310-7565 | Dr. Kimberly Parks Od Pllc
1903 Maple St,
White Pine, TN 37890-3847
Ph: (865) 761-0557 |
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