Individual ProviderKimberly StoneInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address10705 W Peoria Ave, Sun City, AZ 85351-4061(623) 259-6749(773) 352-1517PECOS EnrollmentBased on the most recent information from CMS, provider Kimberly Stone is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1780644138Provider TypeIndividualFull NameStone, KimberlyCredentialMDGenderFemaleSole ProprietorNoEnumeration Date3/27/2006Last Updated4/11/2024Contact InformationPractice LocationPractice Address10705 W Peoria Ave, Sun City, AZ 85351-4061Phone(623) 259-6749FaxUnlisted FaxMailing LocationMailing AddressPO Box 746093, Atlanta, GA 30374-6093Phone(773) 352-1517Fax(312) 929-0373Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense27668ArizonaProvider IdentifiersIDDescriptionIssuerIDAZ0716570DescriptionOtherIssuerBCBSArizonaID102113DescriptionOtherIssuerMEDICARE-TYPE UNSPECIFIEDArizonaID110238540DescriptionOtherIssuerRR MEDICAREArizonaID102147DescriptionOtherIssuerMEDICARE-TYPE UNSPECIFIEDArizona