Dr Sabrina Ann Kidd, MD is a medicare enrolled "Colon & Rectal Surgery" physician in Santa Rosa, California. Her current practice location is
30 Mark West Springs Rd, Santa Rosa, California. You can reach out to her office (for appointments etc.) via phone at
(707) 576-4000.
Dr Sabrina Ann Kidd is licensed to practice in California (license number A111326) 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 1053534354.
Physician's Profile
Full Name | Dr Sabrina Ann Kidd |
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Gender | Female |
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Speciality | Colon & Rectal Surgery |
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Location | 30 Mark West Springs Rd, Santa Rosa, California |
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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: 1053534354
- Provider Enumeration Date: 04/11/2007
- Last Update Date: 06/10/2022
Medicare PECOS Information:
- PECOS PAC ID: 5092987438
- Enrollment ID: I20111007000453
Medical Identifiers
Medical identifiers for Dr Sabrina Ann Kidd such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1053534354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208600000X | Surgery | A111326 (California) | Secondary |
208C00000X | Colon & Rectal Surgery | A111326 (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. Dr Sabrina Ann Kidd allows following entities to bill medicare on her behalf.
Entity Name | Sutter Bay Medical Foundation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013950807 PECOS PAC ID: 4284538778 Enrollment ID: O20031125000909 |
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Entity Name | Alexis Alexandridis Md Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487163309 PECOS PAC ID: 6103183587 Enrollment ID: O20171121001057 |
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Entity Name | Sonoma Valley Health Care District |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1215382973 PECOS PAC ID: 4082980230 Enrollment ID: O20180117000331 |
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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. Dr Sabrina Ann Kidd 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 Sabrina Ann Kidd, MD 462 W Napa St, Sonoma, CA 95476-6519 Ph: (707) 931-4219 | Dr Sabrina Ann Kidd, MD 30 Mark West Springs Rd, Santa Rosa, CA 95403-1436 Ph: (707) 576-4000 |
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