Kimberley Lis Barracco, DO - Medicare Pediatrics in Saint Albans, WV

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Kimberley Lis Barracco, DO is a medicare enrolled "Pediatrics" physician in Saint Albans, West Virginia. Her current practice location is 12 Kanawha Ter, Saint Albans, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 757-6999.

Kimberley Lis Barracco is licensed to practice in West Virginia (license number 2064) 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 1700984366.

Contact Information

Kimberley Lis Barracco, DO
12 Kanawha Ter,
Saint Albans, WV 25177-2750
(304) 757-6999
Not Available

Map and Direction




Physician's Profile

Full NameKimberley Lis Barracco
GenderFemale
SpecialityPediatrics
Location12 Kanawha Ter, Saint Albans, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1700984366
  • Provider Enumeration Date: 09/20/2006
  • Last Update Date: 09/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 7012915416
  • Enrollment ID: I20061120000105

Medical Identifiers

Medical identifiers for Kimberley Lis Barracco such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1700984366NPI-NPPES
001879423OtherBLUE CROSS BLUE SHEILD
7070869OtherAETNA
390767MedicaidSC
SCC510H895OtherSCMEDICARE PIN
3810005951MedicaidWV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 39076 (South Carolina)Secondary
208000000XPediatrics 2064 (West Virginia)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. Kimberley Lis Barracco allows following entities to bill medicare on her behalf.
Entity NameWomencare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194759290
PECOS PAC ID: 4587568134
Enrollment ID: O20031125000177
Entity NameWomencare Inc
Entity TypePart B Supplier - Public Health/welfare Agency
Entity IdentifiersNPI Number: 1740450089
PECOS PAC ID: 4587568134
Enrollment ID: O20080807000128
Entity NameWomencare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1790276525
PECOS PAC ID: 4587568134
Enrollment ID: O20181102002547
Entity NameWomencare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396237434
PECOS PAC ID: 4587568134
Enrollment ID: O20190517001924
Entity NameWomencare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1174106124
PECOS PAC ID: 4587568134
Enrollment ID: O20211028001145
Entity NameWomencare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962045948
PECOS PAC ID: 4587568134
Enrollment ID: O20220526002680

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 Lis Barracco 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 AddressPractice Location Address
Kimberley Lis Barracco, DO
Po Box 2168,
Spartanburg, SC 29304-2168

Ph: (864) 560-4304		Kimberley Lis Barracco, DO
12 Kanawha Ter,
Saint Albans, WV 25177-2750

Ph: (304) 757-6999

Reviews and Comments


Pediatrics Doctors in Saint Albans, WV


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.