Kimberly Kleisch, LCAS in Greensboro, NC - Medicare Counselor Provider

Kimberly Kleisch, LCAS is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Greensboro, North Carolina. Her current practice location is 810 Warren St, Greensboro, North Carolina. You can reach out to her office (for appointments etc.) via phone at (336) 255-7131.

Kimberly Kleisch is licensed to practice in North Carolina (license number 24189) 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 1518503168.

Contact Information

	Kimberly Kleisch, LCAS
	810 Warren St, Greensboro, NC 27403-2340
	(336) 255-7131
	(336) 217-8847

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Kleisch
Gender	Female
Speciality	Counselor - Addiction (substance Use Disorder)
Location	810 Warren St, Greensboro, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1518503168
Provider Enumeration Date: 11/19/2019
Last Update Date: 06/01/2025

Medicare PECOS Information:

PECOS PAC ID: 4385189422
Enrollment ID: I20240712001211

Medical Identifiers

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

Identifier	Type	State	Issuer
1518503168	NPI	-	NPPES
24189	Other	NC	NORTH CAROLINA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	24189 (North Carolina)	Secondary
101YA0400X	Counselor - Addiction (substance Use Disorder)	24189 (North Carolina)	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 Kleisch allows following entities to bill medicare on her behalf.

Entity Name	Tight Lines Family Medicine P.a.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366047748 PECOS PAC ID: 3577971860 Enrollment ID: O20210427001054

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 Kleisch 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 Kleisch, LCAS 810 Warren St, Greensboro, NC 27403-2340 Ph: (336) 255-7131	Kimberly Kleisch, LCAS 810 Warren St, Greensboro, NC 27403-2340 Ph: (336) 255-7131

Reviews and Comments

Counselor in Greensboro, NC

Paula Katz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3511 W Market St, Suite 100, Greensboro, NC 27403 Phone: 336-632-3505 Fax: 336-632-3503
Shannell Lucas, LCMHC, LCAS, CCS, QS Counselor Medicare: Not Enrolled in Medicare Practice Location: 3816 N Elm St Ste C, Greensboro, NC 27455 Phone: 336-545-5995 Fax: 336-545-5996
Peter Reich, LCSW, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 907 Englewood St, Greensboro, NC 27403 Phone: 919-280-8990
Tiffanni Starling, LCMHC/LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 2706 N Church St, Greensboro, NC 27405 Phone: 336-272-9990
Giovani Burton, LCAS-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 E Washington St Ste 101, Greensboro, NC 27401 Phone: 336-333-6860 Fax: 336-275-1187
Kim Antoinette Gray, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 7 Elderbush Ct, Greensboro, NC 27405 Phone: 336-255-5085
Katherine Marie Medlin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2222 Walker Ave, Greensboro, NC 27403 Phone: 910-398-1448

Kimberly Kleisch, LCAS - Medicare Counselor in Greensboro, NC