Kimberly Van Wuffen, LPC in Phoenix, AZ - Medicare Counselor Provider

Kimberly Van Wuffen, LPC is a medicare enrolled "Counselor - Professional" provider in Phoenix, Arizona. Her current practice location is 4435 E Chandler Blvd Ste 200, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (833) 351-8255.

Kimberly Van Wuffen is licensed to practice in Arizona (license number LPC-20531) 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 1114673837.

Contact Information

	Kimberly Van Wuffen, LPC
	4435 E Chandler Blvd Ste 200, Phoenix, AZ 85048-7651
	(833) 351-8255
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Van Wuffen
Gender	Female
Speciality	Counselor - Professional
Location	4435 E Chandler Blvd Ste 200, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114673837
Provider Enumeration Date: 02/22/2022
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 7012435985
Enrollment ID: I20250514002371

Medical Identifiers

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

Identifier	Type	State	Issuer
1114673837	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-20531 (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 Van Wuffen allows following entities to bill medicare on her behalf.

Entity Name	Mccd Fl Psychiatry Services Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659003457 PECOS PAC ID: 4880064070 Enrollment ID: O20230427001364

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 Van Wuffen 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 Van Wuffen, LPC 109 W 27th St Rm 5s, New York, NY 10001-6208 Ph: (833) 351-8255	Kimberly Van Wuffen, LPC 4435 E Chandler Blvd Ste 200, Phoenix, AZ 85048-7651 Ph: (833) 351-8255

Reviews and Comments

Counselor in Phoenix, AZ

Ms. Martha White, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3306 W Catalina Dr, Phoenix, AZ 85017 Phone: 602-353-0703 Fax: 602-353-0715
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Mrs. Virginia Joyce Gatson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1110 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-685-1940 Fax: 602-685-1944
Margaret Ann Beresford, MC, ATR-BC, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4545 N. 36th Street, Suite 117, Phoenix, AZ 85018 Phone: 602-509-5771
Kevin Jessup, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4214 N 19th Pl, Phoenix, AZ 85016 Phone: 602-460-5350

Kimberly Van Wuffen, LPC - Medicare Counselor in Phoenix, AZ