Kimberley Kershaw, LCSW in Covina, CA - Medicare Social Worker Provider

Kimberley Kershaw, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Covina, California. Her current practice location is 210 W San Bernardino Rd, Covina, California. You can reach out to her office (for appointments etc.) via phone at (626) 938-7649.

Kimberley Kershaw is licensed to practice in California (license number 92670) 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 1760088546.

Contact Information

	Kimberley Kershaw, LCSW
	210 W San Bernardino Rd, Covina, CA 91723-1515
	(626) 938-7649
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberley Kershaw
Gender	Female
Speciality	Social Worker - Clinical
Location	210 W San Bernardino Rd, Covina, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1760088546
Provider Enumeration Date: 12/08/2020
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 1759817703
Enrollment ID: I20241213000869

Medical Identifiers

Medical identifiers for Kimberley Kershaw such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1760088546	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	92670 (California)	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. Kimberley Kershaw allows following entities to bill medicare on her behalf.

Entity Name	Southern California Permanente Medical Group
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316979834 PECOS PAC ID: 6002729175 Enrollment ID: O20040126000823

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. Kimberley Kershaw 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
Kimberley Kershaw, LCSW Po Box 1313, Temple City, CA 91780-7313 Ph: () -	Kimberley Kershaw, LCSW 210 W San Bernardino Rd, Covina, CA 91723-1515 Ph: (626) 938-7649

Reviews and Comments

Social Worker in Covina, CA

Jolyn Davidson, RN, LCSW, DCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1338 Center Court Dr, Suite 102, Covina, CA 91724 Phone: 626-339-2140
Christie Young, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 223 E Rowland St, Covina, CA 91723 Phone: 626-332-3145
Mannya Rajesh Sharma, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1085 W Badillo St, Covina, CA 91722 Phone: 626-332-8138 Fax: 626-332-0433
Amy Tam, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1411 N Grand Ave Ste 100, Covina, CA 91724 Phone: 626-395-7100
Mary Ellen Tanner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4740 N Grand Ave, Covina, CA 91724 Phone: 626-859-2089 Fax: 626-859-6537
Ms. Vanessa Linda Cruz Torres, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 4740 N Grand Ave, Covina, CA 91724 Phone: 626-422-8033 Fax: 626-859-6537
Ms. Rosa Sanchez, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1359 N Grand Ave, Covina, CA 91724 Phone: 626-430-2901

Kimberley Kershaw, LCSW - Medicare Clinical Social Worker in Covina, CA