Kimberly Elyse Conley, MD in Los Angeles, CA

Kimberly Elyse Conley, MD is a medicare enrolled "General Practice" physician in Los Angeles, California. Her current practice location is 3612 1/2 E 1st St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at (323) 264-7796.

Kimberly Elyse Conley is licensed to practice in California (license number A113160) 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 1164665550.

Contact Information

	Kimberly Elyse Conley, MD
	3612 1/2 E 1st St, Los Angeles, CA 90063-2326
	(323) 264-7796
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly Elyse Conley
Gender	Female
Speciality	General Practice
Location	3612 1/2 E 1st St, Los Angeles, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164665550
Provider Enumeration Date: 04/14/2009
Last Update Date: 05/17/2021

Medicare PECOS Information:

PECOS PAC ID: 3375803463
Enrollment ID: I20180209002335

Medical Identifiers

Medical identifiers for Kimberly Elyse Conley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164665550	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2083P0901X	Preventive Medicine - Public Health & General Preventive Medicine	A113160 (California)	Secondary
208D00000X	General Practice	A113160 (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 Elyse Conley allows following entities to bill medicare on her behalf.

Entity Name	California Wound Healing Medical Group Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1235333972 PECOS PAC ID: 7315033198 Enrollment ID: O20071010000465

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 Elyse Conley 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 Elyse Conley, MD 33515 Wildflower Ln, Yucaipa, CA 92399-6409 Ph: (559) 244-9107	Kimberly Elyse Conley, MD 3612 1/2 E 1st St, Los Angeles, CA 90063-2326 Ph: (323) 264-7796

Reviews and Comments

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Kimberly Elyse Conley, MD - Medicare General Practice in Los Angeles, CA