Kimberly Ann Werner Billet, MD
Individual provider Active NPI Dermatology Physician · Frisco, TX
NPI 1669787131 · NPPES record last updated Dec 28, 2023
Key facts
- NPI
- 1669787131
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dermatology Physician 207N00000X
- License
- S0590 (TX)
- Practice address
- 4645 Avon LN Ste 375
Frisco, TX 75033-1216 - Phone
- (469) 922-3376
- Fax
- (469) 922-3222
- NPI assigned
- Aug 9, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare Care Compare profile
- Specialty
- Dermatology
- Education
- Eastern Virginia Medical School, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Bare Derm Group Inc
Practice addresses (Care Compare)
12850 N Dallas Pkwy
Suite 300
Frisco, TX 75034-4291
Phone (469) 214-5202
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 75 |
| Skin biopsy | 18 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in TX, NM
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190326001123 | TX | Practitioner - Dermatology | 7719241397 | Reassigns benefits to 1 organization |
| I20251030000449 | NM | Practitioner - Dermatology | 7719241397 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME135731 | FL | MD | Dermatology Physician |
| S0590 | TX | MD | Dermatology Physician |
| 0101250207 | VA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bare Derm Group Inc | Dermatology | Current |
Accepting new patients |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Presbyterian Healthcare Services | Current |
Accepting new patients | |
| Derm Texas LLC | Dermatology | Past |
Accepting new patients |
| Grace Elizabeth Brown, MD PA | Past | Accepting new patients | |
| Pediatric Dermatology of No. TX | Past | Accepting new patients | |
| Wise Clinical Care Associates | Past |
Accepting new patients |
Locations
1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124
2421 W 21st St
Ste B
Clovis, NM 88101
Phone (575) 742-7824
2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577
2110 Research Row
Ste 310
Dallas, TX 75235
Phone (972) 797-9297
12850 Dallas Pkwy
Ste 300
Frisco, TX 75033
Phone (469) 214-5202
27045 E University Dr
Ste 1A
Little Elm, TX 76227
Phone (972) 213-6210
3041 Washington Dr
Ste 400
Melissa, TX 75454
Phone (469) 214-3284
1005 W Ralph Hall Pkwy
Ste 207
Rockwall, TX 75032
Phone (972) 483-9228
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 0101250207 | VA | |
| Dermatology Physician | 207N00000X | ME135731 | FL | |
| General Practice Physician | 208D00000X | 0101250207 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Dermatology Physician | 207N00000X | S0590 | TX | Yes |
Addresses
Primary practice location
4645 Avon LN Ste 375
Frisco, TX 75033-1216
Mailing address
4645 Avon LN Ste 375
Frisco, TX 75033-1216
Phone (469) 922-3376
Other practice location 1
4037 Del Prado Blvd S
Cape Coral, FL 33904
Phone (239) 561-3376
Other practice location 2
6000 W Spring Creek Pkwy Ste 200
Plano, TX 75024-3617
Phone (972) 316-4555
Other names
- Kimberly Ann Werner
Other providers in Frisco, TX
- Dana Greenberg Biederman
- Jordan Alan Bienek
- Matthew Biermacher
- Elizabeth Biermann
- Chanceline Bih
- Katherine Nicole Binfet
- Bio-Medical Applications of Texas, Inc.
- Bio-Medical Applications of Texas, Inc.
- Biofeedback & Behavioral Healthcare Solutions, P.a.
- Biofeedback & Behavioral Healthcare Solutions, P.a.
All providers in Frisco, TX · Dermatology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.