Brooks David Kimmis, MD, MAY 2018 - Medicare Dermatology in E Greenwich, RI

Brooks David Kimmis, MD, MAY 2018 is a medicare enrolled "Dermatology" physician in E Greenwich, Rhode Island. His current practice location is 1672 S County Trl, E Greenwich, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 715-2217.

Brooks David Kimmis is licensed to practice in Rhode Island (license number MD18034) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1043715659.

Contact Information

Brooks David Kimmis, MD, MAY 2018
1672 S County Trl,
E Greenwich, RI 02818-5098
(401) 715-2217
Not Available



Physician's Profile

Full NameBrooks David Kimmis
GenderMale
SpecialityDermatology
Location1672 S County Trl, E Greenwich, Rhode Island
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1043715659
  • Provider Enumeration Date: 03/26/2018
  • Last Update Date: 06/06/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 6901155506
  • Enrollment ID: I20220727000852

Medical Identifiers

Medical identifiers for Brooks David Kimmis such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043715659NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology MD18034 (Rhode Island)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. Brooks David Kimmis allows following entities to bill medicare on his behalf.
Entity NameDermatology Professionals Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902040835
PECOS PAC ID: 9234283953
Enrollment ID: O20090814000486

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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. Brooks David Kimmis 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 AddressPractice Location Address
Brooks David Kimmis, MD, MAY 2018
1672 S County Trl,
E Greenwich, RI 02818-5098

Ph: (401) 715-2217
Brooks David Kimmis, MD, MAY 2018
1672 S County Trl,
E Greenwich, RI 02818-5098

Ph: (401) 715-2217

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Dermatology Doctors in E Greenwich, RI


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