Ms Kimberly Ann Santora, PHD is a medicare enrolled "Psychologist" provider in Farmington, Connecticut. Her current practice location is
10 Talcott Notch, Farmington, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 679-6700.
Ms Kimberly Ann Santora is licensed to practice in Connecticut (license number 004631) 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 1477856078.
Healthcare Provider's Profile
Full Name | Ms Kimberly Ann Santora |
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Gender | Female |
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Speciality | Psychologist |
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Location | 10 Talcott Notch, Farmington, Connecticut |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477856078
- Provider Enumeration Date: 12/21/2010
- Last Update Date: 09/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608214333
- Enrollment ID: I20240401002051
Medical Identifiers
Medical identifiers for Ms Kimberly Ann Santora such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477856078 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 10029 (Massachusetts) | Secondary |
103T00000X | Psychologist | 004631 (Connecticut) | 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. Ms Kimberly Ann Santora allows following entities to bill medicare on her behalf.
Entity Name | State Of Connecticut |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1669466561 PECOS PAC ID: 8022915677 Enrollment ID: O20041122000596 |
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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. Ms Kimberly Ann Santora 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 |
Ms Kimberly Ann Santora, PHD 263 Farmington Avenue, Farmington, CT 06030-1104 Ph: (860) 679-6700 | Ms Kimberly Ann Santora, PHD 10 Talcott Notch, Farmington, CT 06032 Ph: (860) 679-6700 |
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