Kim Shimoda, PHD in Fort Myers, FL - Medicare Clinical Psychologist Provider

Kim Shimoda, PHD is a medicare enrolled "Psychologist" provider in Fort Myers, Florida. She went to University Of Utah School Of Medicine and graduated in 1993 and has 31 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lee Memorial Health System and her current practice location is 9981 S Healthpark Dr, Fort Myers, Florida. You can reach out to her office (for appointments etc.) via phone at (239) 343-5333.

Kim Shimoda is licensed to practice in Florida (license number PY70008) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013926898.

Contact Information

	Kim Shimoda, PHD
	9981 S Healthpark Dr, Fort Myers, FL 33908-3618
	(239) 343-5333
	(239) 343-5321

Map and Direction

Healthcare Provider's Profile

Full Name	Kim Shimoda
Gender	Female
Speciality	Clinical Psychologist
Experience	31 Years
Location	9981 S Healthpark Dr, Fort Myers, Florida
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kim Shimoda attended and graduated from University Of Utah School Of Medicine in 1993

NPI Data:

NPI Number: 1013926898
Provider Enumeration Date: 08/07/2006
Last Update Date: 03/30/2021

Medicare PECOS Information:

PECOS PAC ID: 7719164326
Enrollment ID: I20110608000471

Medical Identifiers

Medical identifiers for Kim Shimoda such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013926898	NPI	-	NPPES
102622500	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY70008 (Florida)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lee Memorial Health System	8729996608	1022

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. Kim Shimoda allows following entities to bill medicare on her behalf.

Entity Name	Lee Memorial Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1992873319 PECOS PAC ID: 8729996608 Enrollment ID: O20031118000604

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. Kim Shimoda 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
Kim Shimoda, PHD Po Box 2147, Fort Myers, FL 33902-2147 Ph: (239) 343-5333	Kim Shimoda, PHD 9981 S Healthpark Dr, Fort Myers, FL 33908-3618 Ph: (239) 343-5333

Reviews and Comments

Psychologist in Fort Myers, FL

Dr. Jill Dea Sanders, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3949 Evans Ave, Suite 105, Fort Myers, FL 33901 Phone: 239-789-5078
Dr. Gisel Ivette Mendez-cordero, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 5225 Clayton Ct, Fort Myers, FL 33907 Phone: 239-343-8240 Fax: 239-468-7906
Dr. Marisa Bermudez, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12499 Brantley Commons Ct Ste 101, Fort Myers, FL 33907 Phone: 239-278-3443 Fax: 239-278-3550
Dr. Pasquale Angelo Capozzoli, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4301 Veronica S Shoemaker Blvd, Suite B, Fort Myers, FL 33916 Phone: 239-274-7792 Fax: 239-247-5344
Melissa Anne Swartz, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9981 S Healthpark Dr, Fort Myers, FL 33908 Phone: 239-343-5333 Fax: 239-343-5484
Sarah K Romero-rodriguez, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 9800 S Healthpark Dr Ste 205, Fort Myers, FL 33908 Phone: 239-343-7130 Fax: 239-343-7185

Kim Shimoda, PHD - Medicare Psychologist in Fort Myers, FL