Kimberly N Hackney, DO in O Fallon, MO

Kimberly N Hackney, DO is a medicare enrolled "Pediatrics" physician in O Fallon, Missouri. Her current practice location is 300 Winding Woods Dr Ste 120, O Fallon, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 978-7902.

Kimberly N Hackney is licensed to practice in Missouri (license number 2010037113) 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 1083842454.

Contact Information

	Kimberly N Hackney, DO
	300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772
	(636) 978-7902
	Not Available

Map and Direction

Physician's Profile

Full Name	Kimberly N Hackney
Gender	Female
Speciality	Pediatrics
Location	300 Winding Woods Dr Ste 120, O Fallon, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083842454
Provider Enumeration Date: 06/24/2009
Last Update Date: 11/28/2017

Medicare PECOS Information:

PECOS PAC ID: 6103074737
Enrollment ID: I20120924000349

Medical Identifiers

Medical identifiers for Kimberly N Hackney such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083842454	NPI	-	NPPES
P01296531	Other	MO	RAILROAD MEDICARE
PAYEE 1	Other	IL	ILLINOIS MEDICAL ASSISTANCE PROGRAM
1083842454	Medicaid	MO

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
2080P0204X	Pediatrics - Pediatric Emergency Medicine	2010037113 (Missouri)	Secondary
2080P0204X	Pediatrics - Pediatric Emergency Medicine	05-35901 (Kansas)	Secondary
208000000X	Pediatrics	2010037113 (Missouri)	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 N Hackney allows following entities to bill medicare on her behalf.

Entity Name	Mercy Hospitals East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851431738 PECOS PAC ID: 1658276811 Enrollment ID: O20031218000107

Entity Name	Mercy Clinic East Communities
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851335228 PECOS PAC ID: 7214827922 Enrollment ID: O20070521000006

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 N Hackney 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 N Hackney, DO 300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772 Ph: (636) 978-7902	Kimberly N Hackney, DO 300 Winding Woods Dr Ste 120, O Fallon, MO 63366-4772 Ph: (636) 978-7902

Reviews and Comments

Pediatrics Doctors in O Fallon, MO

Dr. Cecilia H Yu, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 22, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334
Dr. Yasangi Marina Jayasinha, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1001 Highway K, Suite 4, O Fallon, MO 63366 Phone: 636-240-9896
Dr. John A Myers, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 22, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334
Dr. Trina J Blythe, M.D. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 20 Progress Point Pkwy Ste 100, O Fallon, MO 63368 Phone: 636-344-2213
Dr. Phillip D Reichert, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 20 Progress Point Pkwy, Ste 22, O Fallon, MO 63368 Phone: 636-344-3333 Fax: 636-344-3334
Melissa Roewe, DO Pediatrics Medicare: Medicare Enrolled Practice Location: 9979 Winghaven Blvd Ste 206, O Fallon, MO 63368 Phone: 636-561-5291 Fax: 636-561-5290

Kimberly N Hackney, DO - Medicare Pediatrics in O Fallon, MO