Kimberly Payne, is a medicare enrolled "Speech-language Pathologist" provider in Georgetown, Illinois. Her current practice location is
313 W 12th St, Georgetown, Illinois. You can reach out to her office (for appointments etc.) via phone at
(217) 662-0073.
Kimberly Payne is licensed to practice in Illinois (license number 146008449) 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 1831335520.
Healthcare Provider's Profile
| Full Name | Kimberly Payne |
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| Gender | Female |
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| Speciality | Speech-language Pathologist |
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| Location | 313 W 12th St, Georgetown, Illinois |
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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: 1831335520
- Provider Enumeration Date: 12/30/2008
- Last Update Date: 12/30/2008
Medicare PECOS Information:
- PECOS PAC ID: 1052541554
- Enrollment ID: I20140303000179
Medical Identifiers
Medical identifiers for Kimberly Payne such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1831335520 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 235Z00000X | Speech-language Pathologist | 146008449 (Illinois) | 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 Payne allows following entities to bill medicare on her behalf.
| Provider Name | Empowerme Rehabilitation Illinois Llc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1679098263
PECOS PAC ID: 2365718277
Enrollment ID: O20171020001353 |
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| Provider Name | Empowerme Wellness Kansas City Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1174118103
PECOS PAC ID: 9830504836
Enrollment ID: O20210317001954 |
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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 Payne 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 Payne,
313 W 12th St,
Georgetown, IL 61846-1014
Ph: (217) 662-0073 | Kimberly Payne,
313 W 12th St,
Georgetown, IL 61846-1014
Ph: (217) 662-0073 |
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