Dr Kimberly June Light-allende, PSYD in Fontana, CA - Medicare Clinical Psychologist Provider

Dr Kimberly June Light-allende, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fontana, California. She graduated from medical school in 2004 and has 20 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Gregor Medical Corporation and her current practice location is 15218 Summit Ave # 300-313, Fontana, California. You can reach out to her office (for appointments etc.) via phone at (909) 425-7487.

Dr Kimberly June Light-allende is licensed to practice in California (license number PSY 20476) 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 1497872915.

Contact Information

	Dr Kimberly June Light-allende, PSYD
	15218 Summit Ave # 300-313, Fontana, CA 92336-0232
	(909) 425-7487
	(909) 463-7410

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly June Light-allende
Gender	Female
Speciality	Clinical Psychologist
Experience	20 Years
Location	15218 Summit Ave # 300-313, Fontana, California
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 Kimberly June Light-allende graduated from medical school in 2004

NPI Data:

NPI Number: 1497872915
Provider Enumeration Date: 03/22/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 1052419116
Enrollment ID: I20070613000452

Medical Identifiers

Medical identifiers for Dr Kimberly June Light-allende such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497872915	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY 20476 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Gregor Medical Corporation	2668832700	3

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 Kimberly June Light-allende allows following entities to bill medicare on her behalf.

Entity Name	Department Of State Hospitals
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1124078704 PECOS PAC ID: 9638174238 Enrollment ID: O20081031000305

Entity Name	Gregor Medical Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275274003 PECOS PAC ID: 2668832700 Enrollment ID: O20230720001838

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 Kimberly June Light-allende 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 Kimberly June Light-allende, PSYD 15218 Summit Avenue #300-313, Fontana, CA 92336-0232 Ph: (909) 425-7487	Dr Kimberly June Light-allende, PSYD 15218 Summit Ave # 300-313, Fontana, CA 92336-0232 Ph: (909) 425-7487

Reviews and Comments

Psychologist in Fontana, CA

Dr. Alexandra Mendez, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336 Phone: 909-244-9593
Vicki J Mcwain, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17216 Slover Ave, Building L, Fontana, CA 92337 Phone: 909-854-3420
Dr. Randall Lee Ahn, PHD, MLIS Psychologist Medicare: Medicare Enrolled Practice Location: 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336 Phone: 909-244-9593 Fax: 833-903-0337
Adamma Unaka, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6572 Almeria St, Fontana, CA 92336 Phone: 909-231-4134
Dr. Janna Maria Casillas, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336 Phone: 909-244-9593 Fax: 833-903-0337
Dr. Anthony Benigno, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 16465 Sierra Lakes Pkwy Ste 140, Fontana, CA 92336 Phone: 909-244-9593
Lisamarie Shelton, PSYCHOLOGIST Psychologist Medicare: Medicare Enrolled Practice Location: 9961 Sierra Ave, Fontana, CA 92335 Phone: 909-427-3910

Dr Kimberly June Light-allende, PSYD - Medicare Psychologist in Fontana, CA