Mrs Kimberly Jean Yazell, PHD, LCSW, LCAC, MSW is a medicare enrolled "Social Worker - Clinical" provider in Stover, Missouri. She graduated from healthcare school in 2022 and has 4 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is
3540 Durbin Rd, Stover, Missouri. You can reach out to her office (for appointments etc.) via phone at
(317) 828-6062.
Mrs Kimberly Jean Yazell is licensed to practice in Indiana (license number 34005586A) 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 1144238411.
Healthcare Provider's Profile
| Full Name | Mrs Kimberly Jean Yazell |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 4 Years |
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| Location | 3540 Durbin Rd, Stover, Missouri |
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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. |
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Medical Education and Training:
- Mrs Kimberly Jean Yazell graduated from medical school in 2022
NPI Data:
- NPI Number: 1144238411
- Provider Enumeration Date: 08/03/2006
- Last Update Date: 07/23/2025
Medicare PECOS Information:
- PECOS PAC ID: 6305068792
- Enrollment ID: I20141120000340
Medical Identifiers
Medical identifiers for Mrs Kimberly Jean Yazell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1144238411 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000490A (Indiana) | Secondary |
| 1041C0700X | Social Worker - Clinical | 34005586A (Indiana) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Sondermind Provider Network Llc | 9537572490 | 874 |
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 Jean Yazell allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210416002216 |
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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 Jean Yazell 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 Jean Yazell, PHD, LCSW, LCAC, MSW
3540 Durbin Rd,
Stover, MO 65078-1890
Ph: (317) 828-6062 | Mrs Kimberly Jean Yazell, PHD, LCSW, LCAC, MSW
3540 Durbin Rd,
Stover, MO 65078-1890
Ph: (317) 828-6062 |
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