Kimberly Roper Pennington, PT is a medicare enrolled "Physical Therapist" provider in Hauula, Hawaii. Her current practice location is
53-594 Kamehameha Hwy, Hauula, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 293-1100.
Kimberly Roper Pennington is licensed to practice in Hawaii (license number PT 2893) 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 1538253000.
Healthcare Provider's Profile
| Full Name | Kimberly Roper Pennington |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 53-594 Kamehameha Hwy, Hauula, Hawaii |
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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: 1538253000
- Provider Enumeration Date: 10/02/2006
- Last Update Date: 10/25/2013
Medicare PECOS Information:
- PECOS PAC ID: 0244467017
- Enrollment ID: I20131226001697
Medical Identifiers
Medical identifiers for Kimberly Roper Pennington such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1538253000 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 225100000X | Physical Therapist | 3582 (Tennessee) | Secondary |
| 225100000X | Physical Therapist | PT 2893 (Hawaii) | 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 Roper Pennington allows following entities to bill medicare on her behalf.
| Provider Name | Optimal Wound Solutions Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1124626098
PECOS PAC ID: 7113330119
Enrollment ID: O20210112003082 |
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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 Roper Pennington 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 Roper Pennington, PT
1952 E Fort Union Blvd, Suite 100,
Salt Lake City, UT 84121-6877
Ph: (801) 456-8409 | Kimberly Roper Pennington, PT
53-594 Kamehameha Hwy,
Hauula, HI 96717-9648
Ph: (808) 293-1100 |
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