Dr Kathryn Brandenborg-conti, PSYD, MA is a medicare enrolled "Psychologist - Clinical" provider in Chicago, Illinois. She graduated from healthcare school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Cira Center For Behavioral Health Pc and her current practice location is
3523 N Seeley Ave, Chicago, Illinois. You can reach out to her office (for appointments etc.) via phone at
(872) 216-9066.
Dr Kathryn Brandenborg-conti is licensed to practice in Illinois (license number 071.009514) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1275942229.
Healthcare Provider's Profile
| Full Name | Dr Kathryn Brandenborg-conti |
|---|
| Gender | Female |
|---|
| Speciality | Clinical Psychologist |
|---|
| Experience | 9 Years |
|---|
| Location | 3523 N Seeley Ave, Chicago, Illinois |
|---|
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
|---|
Medical Education and Training:
- Dr Kathryn Brandenborg-conti graduated from medical school in 2015
NPI Data:
- NPI Number: 1275942229
- Provider Enumeration Date: 08/04/2014
- Last Update Date: 08/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 8628355658
- Enrollment ID: I20170501000927
Medical Identifiers
Medical identifiers for Dr Kathryn Brandenborg-conti such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1275942229 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.009514 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Cira Center For Behavioral Health Pc | 3870879190 | 5 |
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. Dr Kathryn Brandenborg-conti allows following entities to bill medicare on her behalf.
| Entity Name | Cira Center For Behavioral Health Pc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1902277395
PECOS PAC ID: 3870879190
Enrollment ID: O20170420001486 |
|---|
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. Dr Kathryn Brandenborg-conti 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 |
|---|
Dr Kathryn Brandenborg-conti, PSYD, MA
3523 N Seeley Ave,
Chicago, IL 60618-6115
Ph: (763) 229-2202 | Dr Kathryn Brandenborg-conti, PSYD, MA
3523 N Seeley Ave,
Chicago, IL 60618-6115
Ph: (872) 216-9066 |
Reviews and Comments