Kimberly Hall, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Perris, California. Her current practice location is
19144 Hawkhill Ave, Perris, California. You can reach out to her office (for appointments etc.) via phone at
(951) 264-1245.
Kimberly Hall is licensed to practice in California (license number PSY19448) 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 1730232356.
Healthcare Provider's Profile
Full Name | Kimberly Hall |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 19144 Hawkhill Ave, Perris, 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: 1730232356
- Provider Enumeration Date: 01/18/2007
- Last Update Date: 01/31/2017
Medicare PECOS Information:
- PECOS PAC ID: 3577552629
- Enrollment ID: I20040512000513
Medical Identifiers
Medical identifiers for Kimberly Hall such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730232356 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PSY 19448 (California) | Secondary |
103TC0700X | Psychologist - Clinical | PSY19448 (California) | 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 Hall allows following entities to bill medicare on her behalf.
Entity Name | Memory Check Psychological Services, A Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912184219 PECOS PAC ID: 7416856422 Enrollment ID: O20040107001021 |
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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 Hall 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 |
Kimberly Hall, PSYD 19144 Hawkhill Ave, Perris, CA 92570-6533 Ph: (951) 264-1245 | Kimberly Hall, PSYD 19144 Hawkhill Ave, Perris, CA 92570-6533 Ph: (951) 264-1245 |
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