Kimberley Simon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tybee Island, Georgia. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
404 C Miller Avenue, Tybee Island, Georgia. You can reach out to her office (for appointments etc.) via phone at
(330) 550-3347.
Kimberley Simon is licensed to practice in Georgia (license number CSW004497) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1396046777.
Healthcare Provider's Profile
| Full Name | Kimberley Simon |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 16 Years |
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| Location | 404 C Miller Avenue, Tybee Island, Georgia |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberley Simon graduated from medical school in 2008
NPI Data:
- NPI Number: 1396046777
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 04/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 9638358617
- Enrollment ID: I20130717000598
Medical Identifiers
Medical identifiers for Kimberley Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1396046777 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | I1000299 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW004497 (Georgia) | 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 Simon allows following entities to bill medicare on her behalf.
| Entity Name | Tybee Counseling Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1275068223
PECOS PAC ID: 9133559289
Enrollment ID: O20200414000834 |
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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. Kimberley Simon 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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Kimberley Simon, LCSW
Po Box 1782,
Tybee Island, GA 31328-1782
Ph: () - | Kimberley Simon, LCSW
404 C Miller Avenue,
Tybee Island, GA 31328
Ph: (330) 550-3347 |
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