Mrs Kimberly Ruth Mattingly-cloer, in Statesville, NC

Mrs Kimberly Ruth Mattingly-cloer, is a medicare enrolled "Counselor" provider in Statesville, North Carolina. Her current practice location is 1812 Davie Ave, Statesville, North Carolina. You can reach out to her office (for appointments etc.) via phone at (704) 450-8277.

Mrs Kimberly Ruth Mattingly-cloer is licensed to practice in North Carolina (license number C014138) 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 1053040048.

Contact Information

	Mrs Kimberly Ruth Mattingly-cloer,
	1812 Davie Ave, Statesville, NC 28677-3524
	(704) 450-8277
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kimberly Ruth Mattingly-cloer
Gender	Female
Speciality	Counselor
Location	1812 Davie Ave, Statesville, North Carolina
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053040048
Provider Enumeration Date: 06/07/2022
Last Update Date: 06/07/2022

Medicare PECOS Information:

PECOS PAC ID: 3779009204
Enrollment ID: I20250428004219

Medical Identifiers

Medical identifiers for Mrs Kimberly Ruth Mattingly-cloer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053040048	NPI	-	NPPES
01	Other		PRIVATE PAY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	C014138 (North Carolina)	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 Ruth Mattingly-cloer allows following entities to bill medicare on her behalf.

Entity Name	Eventus Wholehealth Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548759392 PECOS PAC ID: 6002169539 Enrollment ID: O20181030001281

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 Ruth Mattingly-cloer 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 Ruth Mattingly-cloer, 456 Seven Springs Loop, Statesville, NC 28625-9137 Ph: (704) 929-6117	Mrs Kimberly Ruth Mattingly-cloer, 1812 Davie Ave, Statesville, NC 28677-3524 Ph: (704) 450-8277

Reviews and Comments

Counselor in Statesville, NC

Amy Stamper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 524 Signal Hill Drive Ext, Statesville, NC 28625 Phone: 704-871-1045
Mr. Joel Keith Devine, MACC, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1210 Davie Ave, Statesville, NC 28677 Phone: 704-451-5694
Chaqueenia Yvette Livingston, MA, NCC, LCMHC Counselor Medicare: Medicare Enrolled Practice Location: 276 Old Mocksville Rd, Statesville, NC 28625 Phone: 704-317-2931
James Michael Baker, LPC, LCAS Counselor Medicare: Not Enrolled in Medicare Practice Location: 318 Turnersburg Hwy # 21, Statesville, NC 28625 Phone: 704-881-0862 Fax: 704-881-0877
Mrs. Erin Langdon Mcadams, LCMHCS, LCAS, CCS Counselor Medicare: Medicare Enrolled Practice Location: 209 Barium Springs Dr, Statesville, NC 28677 Phone: 704-872-4157 Fax: 704-872-5103
Mark L Powers, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 110b Stockton St Ste B, Statesville, NC 28677 Phone: 704-871-2332 Fax: 704-871-2339
Christina Shelby Nobles, LCSW-A Counselor Medicare: Medicare Enrolled Practice Location: 619 Sullivan Rd, Statesville, NC 28677 Phone: 704-871-0934 Fax: 704-402-1065

Mrs Kimberly Ruth Mattingly-cloer, - Medicare Counselor in Statesville, NC