Kimberly Sue Moeller, LICSW, LADC is a medicare enrolled "Social Worker - Clinical" provider in Chatfield, Minnesota. Her current practice location is
29961 Keeper Rd, Chatfield, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(507) 259-6258.
Kimberly Sue Moeller is licensed to practice in Minnesota (license number 27774) 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 1891392106.
Healthcare Provider's Profile
| Full Name | Kimberly Sue Moeller |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 29961 Keeper Rd, Chatfield, Minnesota |
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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: 1891392106
- Provider Enumeration Date: 10/08/2020
- Last Update Date: 07/30/2025
Medicare PECOS Information:
- PECOS PAC ID: 3678964384
- Enrollment ID: I20220106000683
Medical Identifiers
Medical identifiers for Kimberly Sue Moeller such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1891392106 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 301844 (Minnesota) | Secondary |
| 1041C0700X | Social Worker - Clinical | 27774 (Minnesota) | 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 Sue Moeller 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 Sue Moeller, LICSW, LADC 29961 Keeper Rd, Chatfield, MN 55923-4831 Ph: (507) 259-6258 | Kimberly Sue Moeller, LICSW, LADC 29961 Keeper Rd, Chatfield, MN 55923-4831 Ph: (507) 259-6258 |
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