Kimberly Hairston, LCSW in Ontario, CA - Medicare Social Worker Provider

Kimberly Hairston, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Ontario, California. Her current practice location is 4872 S Anderson Ave, Ontario, California. You can reach out to her office (for appointments etc.) via phone at (213) 706-1359.

Kimberly Hairston is licensed to practice in California (license number 21513) 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 1083784938.

Contact Information

	Kimberly Hairston, LCSW
	4872 S Anderson Ave, Ontario, CA 91762-7588
	(213) 706-1359
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Hairston
Gender	Female
Speciality	Social Worker - Clinical
Location	4872 S Anderson Ave, Ontario, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083784938
Provider Enumeration Date: 11/08/2006
Last Update Date: 01/12/2026

Medicare PECOS Information:

PECOS PAC ID: 8325183015
Enrollment ID: I20100305000411

Medical Identifiers

Medical identifiers for Kimberly Hairston such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083784938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	21513 (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. Kimberly Hairston 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. Kimberly Hairston 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 Hairston, LCSW Po Box 6945, Norco, CA 92860-8065 Ph: (213) 706-1359	Kimberly Hairston, LCSW 4872 S Anderson Ave, Ontario, CA 91762-7588 Ph: (213) 706-1359

Reviews and Comments

Social Worker in Ontario, CA

Sandra Quezada, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2602 E Towhee St, Ontario, CA 91761 Phone: 909-815-2964
Miss Veronica J Camacho, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1316
Carlos Galvan Morales, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 980 W 6th St Ste 124, Ontario, CA 91762 Phone: 909-648-8075
Mrs. Kimberly A Esse, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 737 N Via Dolcetto, Ontario, CA 91764 Phone: 909-266-7442
Jermaine Bennett, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2940 Inland Empire Blvd, Ontario, CA 91764 Phone: 909-458-1350 Fax: 909-579-8149
Samantha Navarro, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1515 S Bon View Ave, Ontario, CA 91761 Phone: 909-930-6793
Ms. Josefina Sierra, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 317 W F St, Ontario, CA 91762 Phone: 909-986-7111

Kimberly Hairston, LCSW - Medicare Clinical Social Worker in Ontario, CA