Kimberly Marie Boeke, PSYD is a medicare enrolled "Psychologist" provider in Maynard, Massachusetts. Her current practice location is
141 Parker St, Maynard, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(866) 991-2103.
Kimberly Marie Boeke is licensed to practice in Virginia (license number 0810005673) 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 1467985457.
Healthcare Provider's Profile
Full Name | Kimberly Marie Boeke |
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Gender | Female |
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Speciality | Psychologist |
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Location | 141 Parker St, Maynard, Massachusetts |
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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: 1467985457
- Provider Enumeration Date: 04/06/2017
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 6901173491
- Enrollment ID: I20170605002658
Medical Identifiers
Medical identifiers for Kimberly Marie Boeke such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1467985457 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC0700X | Psychologist - Clinical | 0810005673 (Virginia) | Secondary |
103T00000X | Psychologist | 0810005673 (Virginia) | 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 Marie Boeke allows following entities to bill medicare on her behalf.
Entity Name | Tri Area Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1346227584 PECOS PAC ID: 6204748296 Enrollment ID: O20040122000969 |
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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 Marie Boeke 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 Marie Boeke, PSYD 2550 Waterview Dr Unit 152, Northbrook, IL 60062-6349 Ph: (815) 236-4941 | Kimberly Marie Boeke, PSYD 141 Parker St, Maynard, MA 01754-2178 Ph: (866) 991-2103 |
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