Kimberly Ann Greenlaw, PT is a medicare enrolled "Physical Therapist" provider in Dedham, Maine. Her current practice location is
365 Lily Rd, Dedham, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 478-1119.
Kimberly Ann Greenlaw is licensed to practice in Maine (license number PT2528) 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 1770771503.
Healthcare Provider's Profile
Full Name | Kimberly Ann Greenlaw |
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Gender | Female |
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Speciality | Physical Therapist |
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Location | 365 Lily Rd, Dedham, Maine |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770771503
- Provider Enumeration Date: 10/05/2007
- Last Update Date: 06/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 6103815519
- Enrollment ID: I20040511000444
Medical Identifiers
Medical identifiers for Kimberly Ann Greenlaw such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770771503 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225100000X | Physical Therapist | PT2528 (Maine) | 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 Ann Greenlaw allows following entities to bill medicare on her behalf.
Provider Name | Healthpro Heritage Rehab & Fitness Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1861131377 PECOS PAC ID: 6507832573 Enrollment ID: O20220728002141 |
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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 Ann Greenlaw 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 Ann Greenlaw, PT 365 Lily Rd, Dedham, ME 04429-4825 Ph: (207) 478-1119 | Kimberly Ann Greenlaw, PT 365 Lily Rd, Dedham, ME 04429-4825 Ph: (207) 478-1119 |
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