Kimberley E Jongebloed, MD is a
Family Medicine physician based in Bayou La Batre, Alabama. Kimberley E Jongebloed is licensed to practice in Alabama (license number 11512) and her current practice location is 13833 Tapia Ave, Bayou La Batre, Alabama. She can be reached at her office (for appointments etc.) via phone at
(251) 824-4985.
NPI number for Kimberley E Jongebloed is 1720057490 and her current mailing address is 1209 Marseille Dr, Mobile, Alabama. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1720057490.
Physician's Profile
| Full Name | Kimberley E Jongebloed |
|---|
| Gender | Female |
|---|
| Speciality | Family Medicine |
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| Location | 13833 Tapia Ave, Bayou La Batre, Alabama |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1720057490
- Provider Enumeration Date: 03/15/2006
- Last Update Date: 11/25/2008
Medical Identifiers
Medical identifiers for Kimberley E Jongebloed such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1720057490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207Q00000X | Family Medicine | 11512 (Alabama) | Primary |
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. Kimberley E Jongebloed is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Kimberley E Jongebloed, MD 1209 Marseille Dr, Mobile, AL 36693-4521 Ph: (251) 824-4985 | Kimberley E Jongebloed, MD 13833 Tapia Ave, Bayou La Batre, AL 36509-2515 Ph: (251) 824-4985 |
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