Kimberly Michelle Deloach, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Trout, Louisiana. Her current practice location is
107 Arnold Rd, Trout, Louisiana. You can reach out to her office (for appointments etc.) via phone at
(318) 312-8519.
Kimberly Michelle Deloach is licensed to practice in Louisiana (license number 15753) 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 1063121127.
Healthcare Provider's Profile
Full Name | Kimberly Michelle Deloach |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 107 Arnold Rd, Trout, Louisiana |
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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: 1063121127
- Provider Enumeration Date: 11/17/2022
- Last Update Date: 09/11/2023
Medicare PECOS Information:
- PECOS PAC ID: 4082050752
- Enrollment ID: I20240315003713
Medical Identifiers
Medical identifiers for Kimberly Michelle Deloach such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063121127 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 15753 (Louisiana) | Primary |
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 Michelle Deloach 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 Michelle Deloach, LCSW 107 Arnold Rd, Trout, LA 71371-4327 Ph: (318) 312-8519 | Kimberly Michelle Deloach, LCSW 107 Arnold Rd, Trout, LA 71371-4327 Ph: (318) 312-8519 |
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