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Kimberly M Morgan

Dentist

Dental Providers

3445 Henderson Dr Ext, Jacksonville, NC 28546

PECOS Enrollment

This provider is enrolled in PECOS as KIMBERLY MORGAN.

Based on the most recent information from CMS, provider Kimberly M Morgan is legally eligible to order and refer claims for Part B, HHA and DME services only.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 8:18 PM.

Profile Details

Provider ID
1861618159
Provider Type
Individual
Full Name
Morgan, Kimberly M
Title
Mrs.
Credential
DDS

Gender
Female
Sole Proprietor
No
Enumeration Date
4/17/2007
Last Updated
7/8/2007

Contact Information

Practice Location

3445 Henderson Dr Ext, Jacksonville, NC 28546

(910) 347-1283

(910) 347-2153

Mailing Location

3445 Henderson Dr Ext, Jacksonville, NC 28546

(910) 347-1283

(910) 347-2153

Provider Taxonomies

Code	Description	License
Code 1223G0001X Primary	Description Dentist Dental Providers	License 6066 North Carolina

Provider Identifiers

ID	Description	Issuer
ID 96192	Description Other	Issuer BCBS
ID 015K3	Description Other	Issuer BCBS
ID 8996192	Description Medicaid	Issuer Unlisted North Carolina

Kimberly M Morgan

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

ID

Description

Issuer

Miller And Associates Three Pllc

Harris, Keith A

Morgan, W K

Fonkert, Savanna Joy

Martinez, Alfredo Velasco

K. Jasinski, D.M.D., P.C.

Futrell, Stephen Craig

Michael S. Williams Dds, Pa

Dickinson, Lee Patrick

Kriebel, Carl R