Kimberly L Evans, LICSW in Madison, AL - Medicare Social Worker Provider

Kimberly L Evans, LICSW is a medicare enrolled "Social Worker" provider in Madison, Alabama. Her current practice location is 1634 Slaughter Rd, Madison, Alabama. You can reach out to her office (for appointments etc.) via phone at (256) 822-2375.

Kimberly L Evans is licensed to practice in Alabama (license number 4239C) 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 1033391933.

Contact Information

	Kimberly L Evans, LICSW
	1634 Slaughter Rd, Madison, AL 35758-5913
	(256) 822-2375
	(256) 584-2330

Healthcare Provider's Profile

Full Name	Kimberly L Evans
Gender	Female
Speciality	Social Worker
Location	1634 Slaughter Rd, Madison, Alabama
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1033391933
Provider Enumeration Date: 12/03/2007
Last Update Date: 01/11/2023

Medicare PECOS Information:

PECOS PAC ID: 7315369592
Enrollment ID: I20200616002140

Medical Identifiers

Medical identifiers for Kimberly L Evans such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1033391933	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	(* (Not Available))	Secondary
101YP2500X	Counselor - Professional	4239C (Alabama)	Secondary
104100000X	Social Worker	4239C (Alabama)	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 L Evans allows following entities to bill medicare on her behalf.

Entity Name	Covenant Counseling & Consulting Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295111557 PECOS PAC ID: 2769789551 Enrollment ID: O20160322001395

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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 L Evans 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 L Evans, LICSW 251 Johnston St Se Ste 100, Decatur, AL 35601-2515 Ph: (256) 822-2375	Kimberly L Evans, LICSW 1634 Slaughter Rd, Madison, AL 35758-5913 Ph: (256) 822-2375

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Kimberly L Evans, LICSW - Medicare Counselor in Madison, AL

Contact Information

Healthcare Provider's Profile

Medical Identifiers

Medical Taxonomies and Licenses

Medicare Reassignments

Using commensal bacteria to produce vaccine-like immune responses to dangerous bacterium

Study analyzes how the coronavirus spreads indoors

Resilience lowers risk for developing alcohol use disorders, study shows

Elusys' Anthim BLA to treat inhalational anthrax accepted for review by the FDA

Medicare Part D Prescriber Enrollment

Mailing Address and Practice Location

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Study analyzes how the coronavirus spreads indoors

Resilience lowers risk for developing alcohol use disorders, study shows

Elusys' Anthim BLA to treat inhalational anthrax accepted for review by the FDA

Social Worker in Madison, AL