Kimberly R Skinner, DPT is a medicare enrolled "Physical Therapist" provider in Satanta, Kansas. Her current practice location is
401 Cheyenne, Satanta, Kansas. You can reach out to her office (for appointments etc.) via phone at
(620) 649-2200.
Kimberly R Skinner is licensed to practice in Kansas (license number 11-03285) 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 1417528613.
Healthcare Provider's Profile
| Full Name | Kimberly R Skinner |
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| Gender | Female |
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| Speciality | Physical Therapist |
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| Location | 401 Cheyenne, Satanta, Kansas |
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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: 1417528613
- Provider Enumeration Date: 07/08/2021
- Last Update Date: 06/11/2025
Medicare PECOS Information:
- PECOS PAC ID: 5698140903
- Enrollment ID: I20230418001729
Medical Identifiers
Medical identifiers for Kimberly R Skinner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1417528613 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 225100000X | Physical Therapist | 11-03285 (Kansas) | 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 R Skinner allows following entities to bill medicare on her behalf.
| Provider Name | Dynatest Inc |
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| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
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| Provider Identifiers | NPI Number: 1619091394 PECOS PAC ID: 7517082555 Enrollment ID: O20100915000261 |
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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. Kimberly R Skinner 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 R Skinner, DPT Po Box 257, Montezuma, KS 67867-0257 Ph: (620) 846-0655 | Kimberly R Skinner, DPT 401 Cheyenne, Satanta, KS 67870-8748 Ph: (620) 649-2200 |
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