Kimberly S Hutchinson, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Brandon, Florida. Her current practice location is
710 Oakfield Dr Ste 252, Brandon, Florida. You can reach out to her office (for appointments etc.) via phone at
(239) 295-6564.
Kimberly S Hutchinson is licensed to practice in Louisiana (license number 1330) 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 1013392869.
Healthcare Provider's Profile
| Full Name | Kimberly S Hutchinson |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 710 Oakfield Dr Ste 252, Brandon, Florida |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1013392869
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 01/31/2025
Medicare PECOS Information:
- PECOS PAC ID: 0345663159
- Enrollment ID: I20200727001265
Medical Identifiers
Medical identifiers for Kimberly S Hutchinson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1013392869 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 1330 (Louisiana) | Secondary |
| 103TC0700X | Psychologist - Clinical | PY9204 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY9204 (Florida) | Secondary |
| 103T00000X | Psychologist | PY9204 (Florida) | Secondary |
| 103T00000X | Psychologist | 9204 (Florida) | Secondary |
| 103T00000X | Psychologist | 1330 (Louisiana) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | 1330 (Louisiana) | Secondary |
| 103TR0400X | Psychologist - Rehabilitation | PY9204 (Florida) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 1330 (Louisiana) | 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 S Hutchinson allows following entities to bill medicare on her behalf.
| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20230127000335 |
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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 S Hutchinson 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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Kimberly S Hutchinson, PHD
Po Box 100166,
Cape Coral, FL 33910-0166
Ph: (239) 295-6564 | Kimberly S Hutchinson, PHD
710 Oakfield Dr Ste 252,
Brandon, FL 33511-4924
Ph: (239) 295-6564 |
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