Kimberly Diane Freeman, MD is a medicare enrolled "General Practice" physician in Jamestown, California. Her current practice location is
18144 Seco St, Jamestown, California. You can reach out to her office (for appointments etc.) via phone at
(209) 984-4820.
Kimberly Diane Freeman is licensed to practice in California (license number A81141) 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 1801830070.
Physician's Profile
| Full Name | Kimberly Diane Freeman |
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| Gender | Female |
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| Speciality | General Practice |
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| Location | 18144 Seco St, Jamestown, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1801830070
- Provider Enumeration Date: 06/16/2006
- Last Update Date: 03/06/2021
Medicare PECOS Information:
- PECOS PAC ID: 2961470513
- Enrollment ID: I20040921000884
Medical Identifiers
Medical identifiers for Kimberly Diane Freeman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1801830070 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 207P00000X | Emergency Medicine | A81141 (California) | Secondary |
| 208D00000X | General Practice | A81141 (California) | 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. Kimberly Diane Freeman allows following entities to bill medicare on her behalf.
| Entity Name | Cep America - California |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023063542 PECOS PAC ID: 6103739131 Enrollment ID: O20031106000520 |
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| Entity Name | Adventist Health Physicians Network |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
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| Entity Name | Sonora Community Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962493791 PECOS PAC ID: 4284538505 Enrollment ID: O20050606001163 |
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| Entity Name | Sierra Emergency Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871732933 PECOS PAC ID: 2860542479 Enrollment ID: O20090602000429 |
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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. Kimberly Diane Freeman 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 |
Kimberly Diane Freeman, MD Po Box 4989, Sonora, CA 95370-1989 Ph: (209) 213-9192 | Kimberly Diane Freeman, MD 18144 Seco St, Jamestown, CA 95327-9498 Ph: (209) 984-4820 |
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