Kimberley Michelle Malloy, LCPC in Waterloo, IL

Kimberley Michelle Malloy, LCPC is a medicare enrolled "Counselor - Professional" provider in Waterloo, Illinois. Her current practice location is 988 N Illinois Route 3, Waterloo, Illinois. You can reach out to her office (for appointments etc.) via phone at (618) 939-4444.

Kimberley Michelle Malloy is licensed to practice in Illinois (license number 180008895) 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 1437588159.

Contact Information

	Kimberley Michelle Malloy, LCPC
	988 N Illinois Route 3, Waterloo, IL 62298-1000
	(618) 939-4444
	(618) 939-4181

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberley Michelle Malloy
Gender	Female
Speciality	Counselor - Professional
Location	988 N Illinois Route 3, Waterloo, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437588159
Provider Enumeration Date: 11/04/2013
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1153772249
Enrollment ID: I20240112003719

Medical Identifiers

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

Identifier	Type	State	Issuer
1437588159	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180008895 (Illinois)	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 Michelle Malloy allows following entities to bill medicare on her behalf.

Entity Name	Comprehensive Behavioral Health Center Of St. Clair County, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720094345 PECOS PAC ID: 7810072899 Enrollment ID: O20080314000542

Entity Name	Southern Il Institute Of Behavioral Health Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346562881 PECOS PAC ID: 8527190206 Enrollment ID: O20100715000368

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 Michelle Malloy 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 Michelle Malloy, LCPC 988 N Illinois Route 3, Po Box 146, Waterloo, IL 62298-1000 Ph: (618) 939-4444	Kimberley Michelle Malloy, LCPC 988 N Illinois Route 3, Waterloo, IL 62298-1000 Ph: (618) 939-4444

Reviews and Comments

Counselor in Waterloo, IL

John Franklin Murray, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 988 N Illinois Route 3, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181
Darryn Haudrich, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 988 N Illinois Route 3, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181
Sabrina Gummersheimer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 988 N Illinois Route 3, Waterloo, IL 62298 Phone: 618-939-4444
Dr. Joshua D Kurth, PH.D., LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 W Mill St Unit 6a, Waterloo, IL 62298 Phone: 314-399-7202
Julia Mary Olszewski, COUNSELOR, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 988 N Illinois Route 3, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181
Christopher Gene Loving, CADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 988 N Illinois Route 3, Waterloo, IL 62298 Phone: 618-939-4444 Fax: 618-939-4181
William Kuhnert, MHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 988 N Illinois Route 3, Waterloo, IL 62298 Phone: 618-939-4444

Kimberley Michelle Malloy, LCPC - Medicare Counselor in Waterloo, IL