Kimberly Ann Emmert, in Boulder, CO - Medicare Counselor Provider

Kimberly Ann Emmert, is a medicare enrolled "Counselor - Mental Health" provider in Boulder, Colorado. Her current practice location is 1025 Rosewood Ave Ste 106, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at (857) 253-1871.

Kimberly Ann Emmert is licensed to practice in Colorado (license number LPC.0017229) 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 1477076784.

Contact Information

	Kimberly Ann Emmert,
	1025 Rosewood Ave Ste 106, Boulder, CO 80304-0695
	(857) 253-1871
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ann Emmert
Gender	Female
Speciality	Counselor - Mental Health
Location	1025 Rosewood Ave Ste 106, Boulder, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477076784
Provider Enumeration Date: 07/18/2017
Last Update Date: 05/28/2024

Medicare PECOS Information:

PECOS PAC ID: 8628413382
Enrollment ID: I20240304002978

Medical Identifiers

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

Identifier	Type	State	Issuer
1477076784	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0017229 (Colorado)	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 Ann Emmert allows following entities to bill medicare on her behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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 Ann Emmert 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 Ann Emmert, Po Box 20081, Boulder, CO 80308-3081 Ph: (857) 253-1871	Kimberly Ann Emmert, 1025 Rosewood Ave Ste 106, Boulder, CO 80304-0695 Ph: (857) 253-1871

Reviews and Comments

Counselor in Boulder, CO

Ms. Glenda Russell O'rourke, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4716 Ashfield Ct, Boulder, CO 80301 Phone: 303-443-9446 Fax: 303-447-2173
Veronique P Mead, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 4439 Driftwood Pl, Boulder, CO 80301 Phone: 303-581-0411
Carlos Trujillo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-413-6212
Guilherme Zavaschi, Counselor Medicare: Medicare Enrolled Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500
Ms. Regina Cannon, REGISTERED PSYCHOTHE Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500
Amanda Fielder, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1333 Iris Ave, Boulder, CO 80304 Phone: 303-443-8500 Fax: 303-449-6029
Lynne Marie Andrade, MA, LPCC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 3360 Everett Dr, Boulder, CO 80305 Phone: 970-532-9999

Kimberly Ann Emmert, - Medicare Counselor in Boulder, CO