David Kimball, in Urbana, IL - Medicare Radiology

David Kimball, is a medicare enrolled "Radiology - Diagnostic Ultrasound" physician in Urbana, Illinois. His current practice location is 611 W Park St, Urbana, Illinois. You can reach out to his office (for appointments etc.) via phone at (217) 383-3270.

David Kimball is licensed to practice in Illinois (license number 036165034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1053798082.

Contact Information

	David Kimball,
	611 W Park St, Urbana, IL 61801-2501
	(217) 383-3270
	(217) 383-4116

Map and Direction

Physician's Profile

Full Name	David Kimball
Gender	Male
Speciality	Radiology - Diagnostic Ultrasound
Location	611 W Park St, Urbana, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1053798082
Provider Enumeration Date: 04/28/2015
Last Update Date: 02/23/2024

Medicare PECOS Information:

PECOS PAC ID: 1254646250
Enrollment ID: I20200918002365

Medical Identifiers

Medical identifiers for David Kimball such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1053798082	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2085R0202X	Radiology - Diagnostic Radiology	A172655 (California)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
2085U0001X	Radiology - Diagnostic Ultrasound	036165034 (Illinois)	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. David Kimball allows following entities to bill medicare on his behalf.

Entity Name	Brevard Physician Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1598008955 PECOS PAC ID: 1850535048 Enrollment ID: O20130909000619

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. David Kimball 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
David Kimball, 611 W. Park St, Fapc, Urbana, IL 61801 Ph: () -	David Kimball, 611 W Park St, Urbana, IL 61801-2501 Ph: (217) 383-3270

Reviews and Comments

Radiology Doctors in Urbana, IL

Cheng-han Lee, MD Radiology Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270
Kendall C Newsome, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270
Dr. Jason M Huston, D.O. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116
Douglas W Morton, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270
Juan J Jimenez, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270
Stephanie K Weber, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 611 W. Park St., Radiology, Urbana, IL 61801 Phone: 217-383-3270 Fax: 217-383-4116

David Kimball, - Medicare Radiology in Urbana, IL