Mrs Kimberly D Delcourt, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Mishawaka, Indiana. Her current practice location is
509 W Mckinley Ave, Ste 3, Mishawaka, Indiana. You can reach out to her office (for appointments etc.) via phone at
(574) 254-0229.
Mrs Kimberly D Delcourt is licensed to practice in Indiana (license number 34007827A) 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 1285933812.
Healthcare Provider's Profile
| Full Name | Mrs Kimberly D Delcourt |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 509 W Mckinley Ave, Mishawaka, Indiana |
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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: 1285933812
- Provider Enumeration Date: 03/22/2011
- Last Update Date: 10/05/2018
Medicare PECOS Information:
- PECOS PAC ID: 1052689767
- Enrollment ID: I20170622000103
Medical Identifiers
Medical identifiers for Mrs Kimberly D Delcourt such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1285933812 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34007827A (Indiana) | 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. Mrs Kimberly D Delcourt allows following entities to bill medicare on her behalf.
| Entity Name | Samaritan Family Health And Counseling Center, Inc. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1861721136 PECOS PAC ID: 4587830807 Enrollment ID: O20120106000751 |
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| Entity Name | Healing Your Journey Therapy Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1285111278 PECOS PAC ID: 6002164761 Enrollment ID: O20180813001774 |
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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 D Delcourt 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 D Delcourt, MSW, LCSW 509 W Mckinley Ave, Ste 3, Mishawaka, IN 46545-5564 Ph: (574) 277-0274 | Mrs Kimberly D Delcourt, MSW, LCSW 509 W Mckinley Ave, Ste 3, Mishawaka, IN 46545-5564 Ph: (574) 254-0229 |
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