Ms Kimberly Ann Sullivan, LMFT in Elk Grove, CA - Medicare Marriage & Family Therapist Provider

Ms Kimberly Ann Sullivan, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Elk Grove, California. Her current practice location is 9008 Elk Grove Blvd # 20, Elk Grove, California. You can reach out to her office (for appointments etc.) via phone at (916) 709-1648.

Ms Kimberly Ann Sullivan is licensed to practice in California (license number LMFT45203) 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 1225275746.

Contact Information

	Ms Kimberly Ann Sullivan, LMFT
	9008 Elk Grove Blvd # 20, Elk Grove, CA 95624
	(916) 709-1648
	(916) 688-3997

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Kimberly Ann Sullivan
Gender	Female
Speciality	Marriage & Family Therapist
Location	9008 Elk Grove Blvd # 20, Elk Grove, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1225275746
Provider Enumeration Date: 01/21/2009
Last Update Date: 08/16/2021

Medicare PECOS Information:

PECOS PAC ID: 9830536655
Enrollment ID: I20240328000633

Medical Identifiers

Medical identifiers for Ms Kimberly Ann Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1225275746	NPI	-	NPPES
1225275746	Medicaid	CA

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	LMFT45203 (California)	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 Sullivan allows following entities to bill medicare on her behalf.

Entity Name	Accessible Dbt, A Corporation For Psychotherapy
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1336793405 PECOS PAC ID: 2668819483 Enrollment ID: O20240328000573

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 Sullivan 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 Sullivan, LMFT 9008 Elk Grove Blvd # 20, Elk Grove, CA 95624-1945 Ph: (916) 709-1648	Ms Kimberly Ann Sullivan, LMFT 9008 Elk Grove Blvd # 20, Elk Grove, CA 95624 Ph: (916) 709-1648

Reviews and Comments

Marriage & Family Therapist in Elk Grove, CA

Karlie Renee Guthrie, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8788 Elk Grove Blvd Ste F, Elk Grove, CA 95624 Phone: 415-745-0426
Rosemary M. Madruga, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8788 Elk Grove Blvd # 3-12a, Elk Grove, CA 95624 Phone: 916-491-4629 Fax: 530-622-2793
Ruth Desiree Flores, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 3161 Dwight Rd, Elk Grove, CA 95758 Phone: 916-427-7141
Patricia Vargas, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 8788 Elk Grove Blvd, Building 1, Suite L, Elk Grove, CA 95624 Phone: 916-686-9209
Cassaundra Canfield, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9075 Elk Grove Blvd # 220a, Elk Grove, CA 95624 Phone: 916-701-6212
Moriah Myles, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9201 Big Horn Blvd, Elk Grove, CA 95758 Phone: 916-478-5878
Nicole Carter, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9075 Elk Grove Blvd Ste 220a, Elk Grove, CA 95624 Phone: 916-397-6434

Ms Kimberly Ann Sullivan, LMFT - Medicare Couples Therapy in Elk Grove, CA