Kimberly A Knight Ortiz, is a medicare enrolled "Social Worker - Clinical" provider in Escondido, California. Her current practice location is
490 N Grape St, Escondido, California. You can reach out to her office (for appointments etc.) via phone at
(760) 975-9939.
Kimberly A Knight Ortiz is licensed to practice in California (license number 77871) 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 1750946364.
Healthcare Provider's Profile
| Full Name | Kimberly A Knight Ortiz |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 490 N Grape St, Escondido, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1750946364
- Provider Enumeration Date: 05/08/2019
- Last Update Date: 05/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9032555024
- Enrollment ID: I20240313000630
Medical Identifiers
Medical identifiers for Kimberly A Knight Ortiz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1750946364 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (California) | Secondary |
| 104100000X | Social Worker | (NU) | Secondary |
| 1041C0700X | Social Worker - Clinical | 77871 (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 A Knight Ortiz allows following entities to bill medicare on her behalf.
| Entity Name | Empower Tct Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1396429874 PECOS PAC ID: 1052766334 Enrollment ID: O20231005002084 |
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| Entity Name | Cyti Health PC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1679172290 PECOS PAC ID: 4587012950 Enrollment ID: O20231122002919 |
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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 Knight Ortiz 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 A Knight Ortiz, 490 N Grape St, Escondido, CA 92025-3079 Ph: (760) 975-9939 | Kimberly A Knight Ortiz, 490 N Grape St, Escondido, CA 92025-3079 Ph: (760) 975-9939 |
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