Kimberly Nicole Painter, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Phoenix, Arizona. Her current practice location is
1919 E Thomas Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at
(602) 933-0414.
Kimberly Nicole Painter is licensed to practice in Arizona (license number PSY-005002) 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 1467790881.
Healthcare Provider's Profile
| Full Name | Kimberly Nicole Painter |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1919 E Thomas Rd, Phoenix, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1467790881
- Provider Enumeration Date: 01/18/2013
- Last Update Date: 08/28/2018
Medicare PECOS Information:
- PECOS PAC ID: 5294087037
- Enrollment ID: I20181005002686
Medical Identifiers
Medical identifiers for Kimberly Nicole Painter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1467790881 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 2016032456 (Missouri) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PSY-005002 (Arizona) | 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 Nicole Painter allows following entities to bill medicare on her behalf.
| Entity Name | Phoenix Children's Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1922112044
PECOS PAC ID: 0446278584
Enrollment ID: O20051107000704 |
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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 Nicole Painter 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 |
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Kimberly Nicole Painter, PSYD
3200 E Camelback Rd Ste 250,
Phoenix, AZ 85018-2327
Ph: (602) 933-1813 | Kimberly Nicole Painter, PSYD
1919 E Thomas Rd,
Phoenix, AZ 85016
Ph: (602) 933-0414 |
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