Kimberly A Walheim, LPC - Medicare Counselor in Elizabethtown, PA

Kimberly A Walheim, LPC is a medicare enrolled "Counselor - Professional" provider in Elizabethtown, Pennsylvania. Her current practice location is 222 S Market St, Suite 104, Elizabethtown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at (717) 779-6639.

Kimberly A Walheim is licensed to practice in Pennsylvania (license number PC006979) 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 1669811709.

Contact Information

Kimberly A Walheim, LPC
222 S Market St, Suite 104,
Elizabethtown, PA 17022-2439
(717) 779-6639
(717) 361-9100

Map and Direction


Healthcare Provider's Profile

Full NameKimberly A Walheim
GenderFemale
SpecialityCounselor - Professional
Location222 S Market St, Elizabethtown, Pennsylvania
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669811709
  • Provider Enumeration Date: 06/21/2013
  • Last Update Date: 01/15/2016
  Medicare PECOS Information:
  • PECOS PAC ID: 5698128726
  • Enrollment ID: I20240126000092

Medical Identifiers

Medical identifiers for Kimberly A Walheim such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669811709NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YP2500XCounselor - Professional PC006979 (Pennsylvania)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 Walheim allows following entities to bill medicare on her behalf.
Entity NameTransformative Pathways Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1760108021
PECOS PAC ID: 9234582362
Enrollment ID: O20240125001039

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 Walheim 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 AddressPractice Location Address
Kimberly A Walheim, LPC
1025 S Cocalico Rd,
Denver, PA 17517-9545

Ph: (717) 606-7652
Kimberly A Walheim, LPC
222 S Market St, Suite 104,
Elizabethtown, PA 17022-2439

Ph: (717) 779-6639

Reviews and Comments


Counselor in Elizabethtown, PA

Michele Marie Heffner, MS, LPC
Counselor
Medicare: Medicare Enrolled
Practice Location: 222 S. Market Street, Suite 104, Elizabethtown, PA 17022
Phone: 717-635-5304    
Michelle Marie Davy, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 40 W Hummelstown St, Elizabethtown, PA 17022
Phone: 717-449-3029    
Mrs. Angela Rose Engle, MA, NCC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 23 Hunter Dr, Elizabethtown, PA 17022
Phone: 717-875-4584    
Saritha Rothermel, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1890 N Market St, Elizabethtown, PA 17022
Phone: 717-525-0558    
Ms. Debra Huber, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 4600 E Harrisburg Pike, Elizabethtown, PA 17022
Phone: 717-367-9115    
Dr. Jaci Verghese, PH.D.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 134 Crimson Ln, Elizabethtown, PA 17022
Phone: 717-468-2619    
Dr. Laura L Hamilton, MA., D.MIN
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 183 Covered Bridge Rd, Elizabethtown, PA 17022
Phone: 717-342-7555    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.