Dr Kimberly Latrice Sanders, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Richton Park, Illinois. She graduated from medical school in 2008 and has 16 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Kb Psychological Practice Pc and her current practice location is
3034 Richton Pl, Richton Park, Illinois. You can reach out to her office (for appointments etc.) via phone at
(630) 286-9635.
Dr Kimberly Latrice Sanders is licensed to practice in Illinois (license number 071.008142) 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 1497034961.
Healthcare Provider's Profile
| Full Name | Dr Kimberly Latrice Sanders |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 16 Years |
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| Location | 3034 Richton Pl, Richton Park, Illinois |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kimberly Latrice Sanders graduated from medical school in 2008
NPI Data:
- NPI Number: 1497034961
- Provider Enumeration Date: 08/15/2011
- Last Update Date: 06/14/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830357532
- Enrollment ID: I20120227000812
Medical Identifiers
Medical identifiers for Dr Kimberly Latrice Sanders such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1497034961 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 71.008142 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071.008142 (Illinois) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Kb Psychological Practice Pc | 7618287483 | 5 |
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 Latrice Sanders allows following entities to bill medicare on her behalf.
| Entity Name | Kb Psychological Practice Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1063883395
PECOS PAC ID: 7618287483
Enrollment ID: O20151106000241 |
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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 Kimberly Latrice Sanders 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 |
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Dr Kimberly Latrice Sanders, PSYD
3034 Richton Pl,
Richton Park, IL 60471-1321
Ph: (630) 286-9635 | Dr Kimberly Latrice Sanders, PSYD
3034 Richton Pl,
Richton Park, IL 60471-1321
Ph: (630) 286-9635 |
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