Dr Kimberly Brooke Conde, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Camdenton, Missouri. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lake Behavioral Health and her current practice location is
89 Mccrory Drive, Camdenton, Missouri. You can reach out to her office (for appointments etc.) via phone at
(573) 433-2833.
Dr Kimberly Brooke Conde is licensed to practice in Missouri (license number 2016005652) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1770104044.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Brooke Conde |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 89 Mccrory Drive, Camdenton, Missouri |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimberly Brooke Conde graduated from medical school in 2015
NPI Data:
- NPI Number: 1770104044
- Provider Enumeration Date: 04/28/2020
- Last Update Date: 04/28/2020
Medicare PECOS Information:
- PECOS PAC ID: 5890110241
- Enrollment ID: I20200803001667
Medical Identifiers
Medical identifiers for Dr Kimberly Brooke Conde such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1770104044 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 2016005652 (Missouri) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Lake Behavioral Health | 5597171736 | 2 |
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. Dr Kimberly Brooke Conde allows following entities to bill medicare on her behalf.
| Entity Name | Richland Medical Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1891931978
PECOS PAC ID: 2062554025
Enrollment ID: O20100525000793 |
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| Entity Name | Lake Behavioral Health |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1366037764
PECOS PAC ID: 5597171736
Enrollment ID: O20210312000449 |
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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 Brooke Conde 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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Dr Kimberly Brooke Conde, PSYD
416 N Village Cir,
Columbia, MO 65203-5666
Ph: (573) 356-1134 | Dr Kimberly Brooke Conde, PSYD
89 Mccrory Drive,
Camdenton, MO 65020
Ph: (573) 433-2833 |
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