Dr Kim D Georgiou, MD is a medicare enrolled "Family Medicine" physician in Point Blank, Texas. Her current practice location is
141 Fergerson Way, Point Blank, Texas. You can reach out to her office (for appointments etc.) via phone at
(512) 905-6889.
Dr Kim D Georgiou is licensed to practice in Texas (license number N5074) 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 1083662670.
Physician's Profile
| Full Name | Dr Kim D Georgiou |
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| Gender | Female |
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| Speciality | Family Medicine |
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| Location | 141 Fergerson Way, Point Blank, Texas |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1083662670
- Provider Enumeration Date: 05/05/2006
- Last Update Date: 05/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 2062435258
- Enrollment ID: I20060113000594
Medical Identifiers
Medical identifiers for Dr Kim D Georgiou such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083662670 | NPI | - | NPPES |
| P00358143 | Other | OR | RR MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207Q00000X | Family Medicine | MD26996 (Oregon) | Secondary |
| 207Q00000X | Family Medicine | 5754 (Alaska) | Secondary |
| 207Q00000X | Family Medicine | N5074 (Texas) | 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. Dr Kim D Georgiou allows following entities to bill medicare on her behalf.
| Entity Name | Health And Human Services Commission |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356414692
PECOS PAC ID: 2163795824
Enrollment ID: O20170908001058 |
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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. Dr Kim D Georgiou 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 |
|---|
Dr Kim D Georgiou, MD
141 Ferguson Way,
Pointblank, TX 77364-6581
Ph: (713) 202-8289 | Dr Kim D Georgiou, MD
141 Fergerson Way,
Point Blank, TX 77364
Ph: (512) 905-6889 |
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