Kimberly Sue Cross, MD - Medicare Pediatrics in Charleston, WV

Kimberly Sue Cross, MD is a medicare enrolled "Pediatrics" physician in Charleston, West Virginia. Her current practice location is 800 Pennsylvania Ave, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (304) 388-2526.

Kimberly Sue Cross is licensed to practice in West Virginia (license number 19689) 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 1689671406.

Contact Information

Kimberly Sue Cross, MD
800 Pennsylvania Ave,
Charleston, WV 25302-3351
(304) 388-2526
(304) 388-2537

Map and Direction




Physician's Profile

Full NameKimberly Sue Cross
GenderFemale
SpecialityPediatrics
Location800 Pennsylvania Ave, Charleston, West Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1689671406
  • Provider Enumeration Date: 07/07/2005
  • Last Update Date: 07/05/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 5496820474
  • Enrollment ID: I20080826000850

Medical Identifiers

Medical identifiers for Kimberly Sue Cross such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689671406NPI-NPPES
7354454OtherWVAETNA
3002030000MedicaidWV
001721334OtherWVMS BCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 19689 (West Virginia)Secondary
208000000XPediatrics 19689 (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. Kimberly Sue Cross 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

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 Sue Cross 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
Kimberly Sue Cross, MD
800 Pennsylvania Ave, Children's Medicine Center,
Charleston, WV 25302

Ph: (304) 388-2525
Kimberly Sue Cross, MD
800 Pennsylvania Ave,
Charleston, WV 25302-3351

Ph: (304) 388-2526

Reviews and Comments


Pediatrics Doctors in Charleston, WV

Dr. John M Eckerd, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 830 Pennsylvania Ave, Suite 103, Charleston, WV 25302
Phone: 304-388-1552    Fax: 304-388-1577
Jennifer Anne Hines, D.O.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 100 Florida St, Charleston, WV 25302
Phone: 304-414-4015    Fax: 304-414-4018
Jane Elizabeth Nicholas, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-414-1880    Fax: 304-414-1886
Afif S Habash, MD
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 4920 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-442-8117    
Mrs. Mary C Pozega, D.O.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 5324 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-925-7001    Fax: 304-925-7234
Youmna Mousattat, MD
Pediatrics
Medicare: Accepting Medicare Assignments
Practice Location: 800 Pennsylvania Ave, Charleston, WV 25302
Phone: 304-388-2525    
Dr. Stefan Randolph Maxwell, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 830 Pennsylvania Ave, Suite 406, Charleston, WV 25302
Phone: 304-388-2238    Fax: 304-388-2243

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).

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