Ms Kimberly Ann Smith, MS CCC SLP is a medicare enrolled "Speech-language Pathologist" provider in Kingsville, Missouri. Her current practice location is
15612 Hadsell Rd, Kingsville, Missouri. You can reach out to her office (for appointments etc.) via phone at
(913) 710-6819.
Ms Kimberly Ann Smith is licensed to practice in Missouri (license number 2004028845) 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 1376984153.
Healthcare Provider's Profile
Full Name | Ms Kimberly Ann Smith |
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Gender | Female |
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Speciality | Speech-language Pathologist |
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Location | 15612 Hadsell Rd, Kingsville, Missouri |
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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: 1376984153
- Provider Enumeration Date: 07/09/2013
- Last Update Date: 07/09/2013
Medicare PECOS Information:
- PECOS PAC ID: 0648711515
- Enrollment ID: I20240918003646
Medical Identifiers
Medical identifiers for Ms Kimberly Ann Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1376984153 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
235Z00000X | Speech-language Pathologist | 2004028845 (Missouri) | Primary |
235Z00000X | Speech-language Pathologist | 2511 (Kansas) | Secondary |
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. Ms Kimberly Ann Smith allows following entities to bill medicare on her behalf.
Provider Name | Fox Rehabilitation Services Slp Mo Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
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Provider Identifiers | NPI Number: 1639794613 PECOS PAC ID: 7911322789 Enrollment ID: O20200811000768 |
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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. Ms Kimberly Ann Smith 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 |
Ms Kimberly Ann Smith, MS CCC SLP 15612 Hadsell Rd, Kingsville, MO 64061-9007 Ph: (913) 710-6819 | Ms Kimberly Ann Smith, MS CCC SLP 15612 Hadsell Rd, Kingsville, MO 64061-9007 Ph: (913) 710-6819 |
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