Mrs Kimberly Brooke Whitman, MSSW, LCSW, LCASA is a medicare enrolled "Social Worker - Clinical" provider in Boone, North Carolina. She graduated from healthcare school in 2013 and has 11 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Daymark Recovery Services Inc and her current practice location is
132 Poplar Grove Connector Ste B, Boone, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(828) 264-8759.
Mrs Kimberly Brooke Whitman is licensed to practice in North Carolina (license number P008585) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1992180764.
Healthcare Provider's Profile
Full Name | Mrs Kimberly Brooke Whitman |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 11 Years |
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Location | 132 Poplar Grove Connector Ste B, Boone, North Carolina |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Kimberly Brooke Whitman graduated from medical school in 2013
NPI Data:
- NPI Number: 1992180764
- Provider Enumeration Date: 07/22/2015
- Last Update Date: 07/11/2019
Medicare PECOS Information:
- PECOS PAC ID: 7911264759
- Enrollment ID: I20171201002668
Medical Identifiers
Medical identifiers for Mrs Kimberly Brooke Whitman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1992180764 | NPI | - | NPPES |
1992180764 | Medicaid | NC | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | LCAS-23647 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | P008585 (North Carolina) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Daymark Recovery Services Inc | 0547233975 | 71 |
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. Mrs Kimberly Brooke Whitman allows following entities to bill medicare on her behalf.
Entity Name | Daymark Recovery Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1558329243 PECOS PAC ID: 0547233975 Enrollment ID: O20040814000213 |
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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. Mrs Kimberly Brooke Whitman 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 |
Mrs Kimberly Brooke Whitman, MSSW, LCSW, LCASA 284 Executive Park Dr Ste 100, Concord, NC 28025-1894 Ph: (704) 939-1100 | Mrs Kimberly Brooke Whitman, MSSW, LCSW, LCASA 132 Poplar Grove Connector Ste B, Boone, NC 28607-5915 Ph: (828) 264-8759 |
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