Kayla Marie Kimble, PA-C is a medicare enrolled "Physician Assistant" in Fayette, Ohio. Her current practice location is
705 N Fayette St, Fayette, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 765-4568.
Kayla Marie Kimble is licensed to practice in Ohio (license number 50.008456RX) 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 1811778343.
Provider's Profile
Full Name | Kayla Marie Kimble |
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Gender | Female |
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Speciality | Physician Assistant |
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Location | 705 N Fayette St, Fayette, Ohio |
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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: 1811778343
- Provider Enumeration Date: 10/10/2023
- Last Update Date: 04/03/2025
Medicare PECOS Information:
- PECOS PAC ID: 8123475167
- Enrollment ID: I20231115002609
Medical Identifiers
Medical identifiers for Kayla Marie Kimble such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1811778343 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
363A00000X | Physician Assistant | 50.008456RX (Ohio) | Primary |
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. Kayla Marie Kimble 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 |
Kayla Marie Kimble, PA-C 15398 County Road F75, Bryan, OH 43506-9588 Ph: (419) 303-0404 | Kayla Marie Kimble, PA-C 705 N Fayette St, Fayette, OH 43521-9586 Ph: (419) 765-4568 |
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