Kimberly Claire C Chu, is a medicare enrolled "Clinic/center - Physical Therapy" provider in Maryland Heights, Missouri. Her current practice location is
2963 Doddridge Ave, Maryland Heights, Missouri. You can reach out to her office (for appointments etc.) via phone at
(917) 794-7609.
Kimberly Claire C Chu is licensed to practice in Missouri (license number 2021033579) 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 1104385764.
Healthcare Provider's Profile
| Full Name | Kimberly Claire C Chu |
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| Gender | Female |
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| Speciality | Clinic/center - Physical Therapy |
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| Location | 2963 Doddridge Ave, Maryland Heights, Missouri |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1104385764
- Provider Enumeration Date: 03/13/2019
- Last Update Date: 09/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 5890236475
- Enrollment ID: I20240923003241
Medical Identifiers
Medical identifiers for Kimberly Claire C Chu such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104385764 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 05013217A (Indiana) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | 2021033579 (Missouri) | 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 Claire C Chu allows following entities to bill medicare on her behalf.
| Provider Name | Choice Rehabilitation Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1558996967
PECOS PAC ID: 7719308204
Enrollment ID: O20240104000845 |
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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 Claire C Chu 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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Kimberly Claire C Chu,
601 Broadmoor Dr Apt F,
Chesterfield, MO 63017-3154
Ph: (917) 794-7609 | Kimberly Claire C Chu,
2963 Doddridge Ave,
Maryland Heights, MO 63043-1736
Ph: (917) 794-7609 |
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