Kendre Green Sanborn, is a medicare enrolled "Adult Companion" provider in Santa Barbara, California. Her current practice location is
2034 De La Vina St, Santa Barbara, California. You can reach out to her office (for appointments etc.) via phone at
(805) 315-8967.
Kendre Green Sanborn is licensed to practice in * (Not Available) (license number ) 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 1194096545.
Healthcare Provider's Profile
| Full Name | Kendre Green Sanborn |
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| Gender | Female |
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| Speciality | Adult Companion |
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| Location | 2034 De La Vina St, Santa Barbara, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1194096545
- Provider Enumeration Date: 01/17/2012
- Last Update Date: 05/15/2025
Medicare PECOS Information:
- PECOS PAC ID: 2668825530
- Enrollment ID: I20240126001754
Medical Identifiers
Medical identifiers for Kendre Green Sanborn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194096545 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 106H00000X | Marriage & Family Therapist | 113752 (California) | Secondary |
| 373H00000X | Day Training/habilitation Specialist | (* (Not Available)) | Secondary |
| 372600000X | Adult Companion | (* (Not Available)) | 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. Kendre Green Sanborn allows following entities to bill medicare on her behalf.
| Entity Name | Santa Barbara County Auditor |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487857405
PECOS PAC ID: 9335052083
Enrollment ID: O20081226000157 |
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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. Kendre Green Sanborn 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 |
|---|
Kendre Green Sanborn,
4991 Cervato Way,
Santa Barbara, CA 93111-1952
Ph: (805) 886-8236 | Kendre Green Sanborn,
2034 De La Vina St,
Santa Barbara, CA 93105-3814
Ph: (805) 315-8967 |
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