Kimberly A Mahoney, is a medicare enrolled "Social Worker - Clinical" provider in Pueblo, Colorado. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Southern Colorado Counseling And Wellness, Pllc and her current practice location is
1301 E 7th St, Pueblo, Colorado. You can reach out to her office (for appointments etc.) via phone at
(719) 543-8711.
Kimberly A Mahoney is licensed to practice in Colorado (license number CSW.09926768) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1235456393.
Healthcare Provider's Profile
| Full Name | Kimberly A Mahoney |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 20 Years |
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| Location | 1301 E 7th St, Pueblo, Colorado |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Kimberly A Mahoney graduated from medical school in 2006
NPI Data:
- NPI Number: 1235456393
- Provider Enumeration Date: 04/29/2010
- Last Update Date: 02/01/2024
Medicare PECOS Information:
- PECOS PAC ID: 7113330630
- Enrollment ID: I20201230000773
Medical Identifiers
Medical identifiers for Kimberly A Mahoney such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1235456393 | NPI | - | NPPES |
| 1760596480 | Medicaid | SC | |
| 9000190485 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | 9376 (South Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW.09926768 (Colorado) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Southern Colorado Counseling And Wellness, Pllc | 2466838693 | 2 |
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 A Mahoney allows following entities to bill medicare on her behalf.
| Entity Name | Pueblo Community Health Center Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1770529950
PECOS PAC ID: 4284543802
Enrollment ID: O20031104000171 |
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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. Kimberly A Mahoney 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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Kimberly A Mahoney,
110 E Routt Ave,
Pueblo, CO 81004-2117
Ph: (719) 543-8711 | Kimberly A Mahoney,
1301 E 7th St,
Pueblo, CO 81001-3508
Ph: (719) 543-8711 |
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