Kim Ferguson, PSYD in Concord, NC - Medicare Psychologist Provider

Kim Ferguson, PSYD is a medicare enrolled "Psychologist" provider in Concord, North Carolina. Her current practice location is 380 Copperfield Blvd Ne, Concord, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 403-1800.

Kim Ferguson is licensed to practice in North Carolina (license number 1642) 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 1154375483.

Contact Information

	Kim Ferguson, PSYD
	380 Copperfield Blvd Ne, Concord, NC 28025-2402
	(704) 403-1800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kim Ferguson
Gender	Female
Speciality	Psychologist
Location	380 Copperfield Blvd Ne, Concord, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154375483
Provider Enumeration Date: 05/20/2006
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 2668515537
Enrollment ID: I20100202000093

Medical Identifiers

Medical identifiers for Kim Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154375483	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1642 (North Carolina)	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. Kim Ferguson allows following entities to bill medicare on her behalf.

Entity Name	The Charlotte-mecklenburg Hospital Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669738829 PECOS PAC ID: 2961310685 Enrollment ID: O20100309000605

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. Kim Ferguson 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
Kim Ferguson, PSYD Po Box 19305, Charlotte, NC 28219-9305 Ph: () -	Kim Ferguson, PSYD 380 Copperfield Blvd Ne, Concord, NC 28025-2402 Ph: (704) 403-1800

Reviews and Comments

Psychologist in Concord, NC

Cheryl B. Masters, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 270 Copperfield Blvd Ne, Ste 102, Concord, NC 28025 Phone: 704-786-6521
Ms. Kimberly Aylene Kennedy, M. A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1065 Vinehaven Dr, Concord, NC 28025 Phone: 704-286-9181
Breana Lee Mcswain, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 900 Branchview Dr Ne, Concord, NC 28025 Phone: 704-780-4271
Mr. Marcus B. Davis, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 284 Executive Park Dr, Suite 100, Concord, NC 28025 Phone: 704-939-1100 Fax: 704-939-1173
Mr. Ralph Andrew Tamayo, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2324 Concord Lake Rd, Concord, NC 28025 Phone: 704-829-1343
Dawn Thomas, MA, LPA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 133 Church St Ne, Concord, NC 28025 Phone: 704-792-0143 Fax: 704-792-0143

Kim Ferguson, PSYD - Medicare Psychologist in Concord, NC