Amber Kimble, LCSW in Charlotte, NC - Medicare Social Worker Provider

Amber Kimble, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Charlotte, North Carolina. Her current practice location is 10130 Mallard Creek Rd Ste 300, Charlotte, North Carolina. You can reach out to her office (for appointments etc.) via phone at (980) 225-1585.

Amber Kimble is licensed to practice in North Carolina (license number C009947) 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 1033599618.

Contact Information

	Amber Kimble, LCSW
	10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001
	(980) 225-1585
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Amber Kimble
Gender	Female
Speciality	Social Worker - Clinical
Location	10130 Mallard Creek Rd Ste 300, Charlotte, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033599618
Provider Enumeration Date: 06/09/2015
Last Update Date: 11/18/2019

Medicare PECOS Information:

PECOS PAC ID: 2668804212
Enrollment ID: I20191120000347

Medical Identifiers

Medical identifiers for Amber Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033599618	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	P007673 (North Carolina)	Secondary
1041C0700X	Social Worker - Clinical	C009947 (North Carolina)	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. Amber Kimble allows following entities to bill medicare on her behalf.

Entity Name	Living Legacies Therapeutic Services Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699311340 PECOS PAC ID: 8224460878 Enrollment ID: O20191120000174

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. Amber Kimble 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
Amber Kimble, LCSW 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 Ph: (980) 225-1585	Amber Kimble, LCSW 10130 Mallard Creek Rd Ste 300, Charlotte, NC 28262-6001 Ph: (980) 225-1585

Reviews and Comments

Social Worker in Charlotte, NC

Miss Meredith Canty Anderson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2512 Wingdale Dr, Charlotte, NC 28213 Phone: 843-230-6359
Anastashia Natasha Brown, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3541 Randolph Rd, Ste 210, Charlotte, NC 28211 Phone: 704-381-8336
Denise Doster, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10801 Johnston Rd, Suite 227, Charlotte, NC 28226 Phone: 980-299-1277
Sara Charles Goguen, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2125 Southend Dr, Suite 452, Charlotte, NC 28203 Phone: 704-378-1390 Fax: 704-378-1392
Mr. Andre Maurice Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9711 David Taylor Dr Apt 104, Charlotte, NC 28262 Phone: 980-202-2526
Melissa Price, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6302 Fairview Rd Ste 100, Charlotte, NC 28210 Phone: 704-584-9897 Fax: 704-270-9610
Tawana Denise Sanders, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 325 Hawthorne Ln Ste 100, Charlotte, NC 28204 Phone: 704-316-7760 Fax: 704-316-7761

Amber Kimble, LCSW - Medicare Clinical Social Worker in Charlotte, NC