Kimberly Ann Callaway Gentry, PHD in Conway, AR - Medicare Psychologist Provider

Kimberly Ann Callaway Gentry, PHD is a medicare enrolled "Psychologist" provider in Conway, Arkansas. Her current practice location is 317 Oak St Ste 3, Conway, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 358-6396.

Kimberly Ann Callaway Gentry is licensed to practice in Arkansas (license number 202217) 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 1073137253.

Contact Information

	Kimberly Ann Callaway Gentry, PHD
	317 Oak St Ste 3, Conway, AR 72032-5679
	(501) 358-6396
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Ann Callaway Gentry
Gender	Female
Speciality	Psychologist
Location	317 Oak St Ste 3, Conway, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073137253
Provider Enumeration Date: 06/03/2020
Last Update Date: 01/25/2023

Medicare PECOS Information:

PECOS PAC ID: 3577940568
Enrollment ID: I20220512001713

Medical Identifiers

Medical identifiers for Kimberly Ann Callaway Gentry such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073137253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	202217 (Arkansas)	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 Ann Callaway Gentry allows following entities to bill medicare on her behalf.

Entity Name	Therapy Assessment Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093184210 PECOS PAC ID: 0941538557 Enrollment ID: O20190821000368

Entity Name	Peace Of Mind Counseling Centers Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1619334349 PECOS PAC ID: 5193152460 Enrollment ID: O20200226000953

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 Ann Callaway Gentry 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 Ann Callaway Gentry, PHD 23 Colt Loop, Greenbrier, AR 72058-9197 Ph: (501) 581-0352	Kimberly Ann Callaway Gentry, PHD 317 Oak St Ste 3, Conway, AR 72032-5679 Ph: (501) 358-6396

Reviews and Comments

Psychologist in Conway, AR

Susan Sobel, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Mrs. Cariann M Bergner-moore, PSYD/PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1312 Donaghey Ave, Conway, AR 72034 Phone: 501-358-6606
Wendi Elliott, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1014 Main St, Conway, AR 72032 Phone: 501-336-0511 Fax: 501-336-4034
Susan E Schaefer, PH D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 350 Salem Road, Suite 1, Conway, AR 72034 Phone: 501-336-8300 Fax: 501-329-3572
Sarah Lindeman Root, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Bob Courtway Dr Ste 9, Conway, AR 72032 Phone: 501-812-4268
Ms. Samantha Sewell Short, PSYD, LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 317 Oak St Ste 3, Conway, AR 72032 Phone: 501-291-3091 Fax: 501-588-0484

Kimberly Ann Callaway Gentry, PHD - Medicare Psychologist in Conway, AR