Dr Kimm Marie Perez, PHD, LPA, LPC- S is a medicare enrolled "Counselor - Mental Health" provider in New Caney, Texas. Her current practice location is
11971 N Grand Pkwy E Ste 200, New Caney, Texas. You can reach out to her office (for appointments etc.) via phone at
(346) 471-5200.
Dr Kimm Marie Perez is licensed to practice in Texas (license number 64721) 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 1013321090.
Healthcare Provider's Profile
| Full Name | Dr Kimm Marie Perez |
|---|
| Gender | Female |
|---|
| Speciality | Counselor - Mental Health |
|---|
| Location | 11971 N Grand Pkwy E Ste 200, New Caney, Texas |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1013321090
- Provider Enumeration Date: 06/17/2014
- Last Update Date: 04/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507218013
- Enrollment ID: I20240120000244
Medical Identifiers
Medical identifiers for Dr Kimm Marie Perez such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013321090 | NPI | - | NPPES |
| 336059606 | Medicaid | TX | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | 39232 (Texas) | Secondary |
| 101YM0800X | Counselor - Mental Health | 64721 (Texas) | Primary |
| 101YP2500X | Counselor - Professional | 64721 (Texas) | Secondary |
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 Kimm Marie Perez allows following entities to bill medicare on her behalf.
| Entity Name | Asian American Health Coalition Of The Greater Houston Area |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1699966754
PECOS PAC ID: 7214014208
Enrollment ID: O20080401000444 |
|---|
| Entity Name | Diverse Behavioral Health Group |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1861126005
PECOS PAC ID: 7214374933
Enrollment ID: O20240318001459 |
|---|
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 Kimm Marie Perez 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 |
|---|
Dr Kimm Marie Perez, PHD, LPA, LPC- S
11971 N Grand Pkwy E Ste 200, #207,
New Caney, TX 77357-1827
Ph: (346) 471-5200 | Dr Kimm Marie Perez, PHD, LPA, LPC- S
11971 N Grand Pkwy E Ste 200,
New Caney, TX 77357-1828
Ph: (346) 471-5200 |
Reviews and Comments