Dr Kimberly Rae Parks, O D is a medicare enrolled "Optometrist" provider in Talbott, Tennessee. Her current practice location is
6350 W Andrew Johnson Hwy, Talbott, Tennessee. You can reach out to her office (for appointments etc.) via phone at
(423) 587-7337.
Dr Kimberly Rae Parks is licensed to practice in Tennessee (license number 2534) 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 1518937663.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Rae Parks |
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| Gender | Female |
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| Speciality | Optometrist |
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| Location | 6350 W Andrew Johnson Hwy, Talbott, Tennessee |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1518937663
- Provider Enumeration Date: 01/23/2006
- Last Update Date: 08/07/2025
Medicare PECOS Information:
- PECOS PAC ID: 2466868047
- Enrollment ID: I20210305000348
Medical Identifiers
Medical identifiers for Dr Kimberly Rae Parks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1518937663 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 152W00000X | Optometrist | 2534 (Tennessee) | 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 Rae Parks allows following entities to bill medicare on her behalf.
| Provider Name | Jessup Mobile Opt Tn Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1740763325
PECOS PAC ID: 3476898073
Enrollment ID: O20190102000685 |
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| Provider Name | Lyndon Graves Enterprise Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437436599
PECOS PAC ID: 5193992972
Enrollment ID: O20191030002728 |
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| Provider Name | Sightrite Medical Tn Llc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1316562283
PECOS PAC ID: 9133542509
Enrollment ID: O20200702001407 |
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| Provider Name | Dr. Kimberly Parks Od Pllc |
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| Provider Type | Part B Supplier - Clinic/group Practice |
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| Provider Identifiers | NPI Number: 1437741758
PECOS PAC ID: 0648686220
Enrollment ID: O20210305000166 |
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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 Rae Parks 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 Rae Parks, O D
1923 Sulphur Springs Rd,
Morristown, TN 37813-5654
Ph: (423) 317-9344 | Dr Kimberly Rae Parks, O D
6350 W Andrew Johnson Hwy,
Talbott, TN 37877-8605
Ph: (423) 587-7337 |
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