Dr Tory Kimpton, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Mather, California. Her current practice location is
10535 Hospital Way, Mather, California. You can reach out to her office (for appointments etc.) via phone at
(916) 843-2838.
Dr Tory Kimpton is licensed to practice in Idaho (license number PSY-203028) 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 1962921619.
Healthcare Provider's Profile
Full Name | Dr Tory Kimpton |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 10535 Hospital Way, Mather, California |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1962921619
- Provider Enumeration Date: 09/13/2017
- Last Update Date: 11/19/2017
Medicare PECOS Information:
- PECOS PAC ID: 4789937905
- Enrollment ID: I20181105001809
Medical Identifiers
Medical identifiers for Dr Tory Kimpton such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962921619 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | PSY-203028 (Idaho) | Secondary |
103G00000X | Clinical Neuropsychologist | PSY-203028 (Idaho) | 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. Dr Tory Kimpton allows following entities to bill medicare on her behalf.
Entity Name | St Lukes Clinic-treasure Valley Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1326336058 PECOS PAC ID: 4981878402 Enrollment ID: O20111119000045 |
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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 Tory Kimpton 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 Tory Kimpton, PHD 10535 Hospital Way Bldg 649, Mather, CA 95655-4200 Ph: (916) 843-9078 | Dr Tory Kimpton, PHD 10535 Hospital Way, Mather, CA 95655-4200 Ph: (916) 843-2838 |
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