Dr Kimberly Staudt, MD in Clarksville, IN - Medicare Internal Medicine

Dr Kimberly Staudt, MD is a medicare enrolled "Internal Medicine" physician in Clarksville, Indiana. Her current practice location is 2051 Clevidence Blvd Ste B, Clarksville, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 280-9145.

Dr Kimberly Staudt is licensed to practice in Indiana (license number 01091586A) 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 1891229704.

Contact Information

	Dr Kimberly Staudt, MD
	2051 Clevidence Blvd Ste B, Clarksville, IN 47129-2278
	(812) 280-9145
	(812) 280-6632

Map and Direction

Physician's Profile

Full Name	Dr Kimberly Staudt
Gender	Female
Speciality	Internal Medicine
Location	2051 Clevidence Blvd Ste B, Clarksville, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891229704
Provider Enumeration Date: 04/18/2017
Last Update Date: 08/30/2024

Medicare PECOS Information:

PECOS PAC ID: 2860814084
Enrollment ID: I20240517000260

Medical Identifiers

Medical identifiers for Dr Kimberly Staudt such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891229704	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207R00000X	Internal Medicine	0101266296 (Virginia)	Secondary
207R00000X	Internal Medicine	59573 (Kentucky)	Secondary
207R00000X	Internal Medicine	01091586A (Indiana)	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. Dr Kimberly Staudt allows following entities to bill medicare on her behalf.

Entity Name	Community Medical Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588614994 PECOS PAC ID: 7012811284 Enrollment ID: O20040309000452

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. Dr Kimberly Staudt 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
Dr Kimberly Staudt, MD Po Box 776351, Chicago, IL 60677-6351 Ph: (502) 588-9490	Dr Kimberly Staudt, MD 2051 Clevidence Blvd Ste B, Clarksville, IN 47129-2278 Ph: (812) 280-9145

Reviews and Comments

Internal Medicine Doctors in Clarksville, IN

Dr. Cyrus K Joshi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 207 E Lewis And Clark Pkwy, Clarksville, IN 47129 Phone: 812-981-7900 Fax: 812-981-7042
Giavonne D Rondo-hillman, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1020 Veterans Pkwy Ste 700, Clarksville, IN 47129 Phone: 812-668-8144 Fax: 877-772-5243
Richard M Spalding, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2051 Clevidence Blvd, Ste. 1, Clarksville, IN 47129 Phone: 812-280-9145 Fax: 812-280-6627
Robin B Oukrop, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2051 Clevidence Blvd, Suite 1, Clarksville, IN 47129 Phone: 812-280-9145 Fax: 812-280-6627
Steven J Goldstein, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2051 Clevidence Blvd, Ste. 1, Clarksville, IN 47129 Phone: 812-280-9145 Fax: 812-280-6627
Dr. Rukhsana Ikram Rahman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 630 Eastern Blvd, Clarksville, IN 47129 Phone: 812-280-0796 Fax: 812-280-0796
Pete Mayfield Iv, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2051 Clevidence Blvd, Clarksville, IN 47129 Phone: 812-280-9145 Fax: 812-280-6641

Dr Kimberly Staudt, MD - Medicare Internal Medicine in Clarksville, IN