Kristin Sandusky, in Bradenton, FL - Medicare Counselor Provider

Kristin Sandusky, is a medicare enrolled "Counselor - Mental Health" provider in Bradenton, Florida. Her current practice location is 5131 Manatee Ave W, Bradenton, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 792-0802.

Kristin Sandusky is licensed to practice in Florida (license number 21496) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1083323208.

Contact Information

	Kristin Sandusky,
	5131 Manatee Ave W, Bradenton, FL 34209-3740
	(941) 792-0802
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristin Sandusky
Gender	Female
Speciality	Counselor - Mental Health
Location	5131 Manatee Ave W, Bradenton, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1083323208
Provider Enumeration Date: 11/16/2022
Last Update Date: 11/16/2022

Medicare PECOS Information:

PECOS PAC ID: 2062864713
Enrollment ID: I20240117004704

Medical Identifiers

Medical identifiers for Kristin Sandusky such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083323208	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	21496 (Florida)	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. Kristin Sandusky allows following entities to bill medicare on her behalf.

Entity Name	Bradenton Counseling Center, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639472939 PECOS PAC ID: 7012199565 Enrollment ID: O20110304000710

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. Kristin Sandusky 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
Kristin Sandusky, 1208 59th St W, Bradenton, FL 34209-4154 Ph: (941) 518-0823	Kristin Sandusky, 5131 Manatee Ave W, Bradenton, FL 34209-3740 Ph: (941) 792-0802

Reviews and Comments

Counselor in Bradenton, FL

Lisa M Davis, L.M.H.C., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 351 6th Ave W, Bradenton, FL 34205 Phone: 941-737-8897
Jessica Lynn Gomez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9030 58th Dr E, Bradenton, FL 34202 Phone: 941-567-6207
Mrs. Susan Tabicman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Manatee Ave W, Bradenton, FL 34209 Phone: 941-704-9688
Mr. Nestor Levesque, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 379 6th Ave W, Bradenton, FL 34205 Phone: 941-782-4150 Fax: 941-782-4101
Mrs. Virginia D Whittington, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2328 Manatee Ave W, Bradenton, FL 34205 Phone: 941-708-0896 Fax: 941-747-1696
Ms. Lorraine Ann Emmer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 379 6th Ave W, Bradenton, FL 34205 Phone: 941-782-4100
Mrs. Halle Kranz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 239 301 Blvd W, Bradenton, FL 34205 Phone: 941-741-3023

Kristin Sandusky, - Medicare Counselor in Bradenton, FL