Kimberly Caroline Scarsdale, CFY-SLP is a medicare enrolled "Specialist/technologist" provider in Springdale, Arkansas. Her current practice location is
3901 Parkway Cir, Springdale, Arkansas. You can reach out to her office (for appointments etc.) via phone at
(479) 295-0316.
Kimberly Caroline Scarsdale is licensed to practice in Arkansas (license number SP2769) 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 1982752002.
Healthcare Provider's Profile
| Full Name | Kimberly Caroline Scarsdale |
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| Gender | Female |
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| Speciality | Specialist/technologist |
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| Location | 3901 Parkway Cir, Springdale, Arkansas |
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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: 1982752002
- Provider Enumeration Date: 01/08/2007
- Last Update Date: 11/16/2022
Medicare PECOS Information:
- PECOS PAC ID: 3274908736
- Enrollment ID: I20230414000951
Medical Identifiers
Medical identifiers for Kimberly Caroline Scarsdale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1982752002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 5683 (Louisiana) | Secondary |
| 235500000X | Specialist/technologist | SP2769 (Arkansas) | 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 Caroline Scarsdale allows following entities to bill medicare on her behalf.
| Provider Name | Elevate Swallowing And Voice Solutions Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1336860071
PECOS PAC ID: 8628442977
Enrollment ID: O20230328001332 |
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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 Caroline Scarsdale 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 Caroline Scarsdale, CFY-SLP
10 Blizzen Ln,
Bella Vista, AR 72714-3236
Ph: (479) 295-0316 | Kimberly Caroline Scarsdale, CFY-SLP
3901 Parkway Cir,
Springdale, AR 72762-6362
Ph: (479) 295-0316 |
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