Kimberly Fanning-shiles, LMFT in Rancho Cucamonga, CA - Medicare Marriage & Family Therapist Provider

Kimberly Fanning-shiles, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Rancho Cucamonga, California. Her current practice location is 7365 Carnelian St, Ste. 202, Rancho Cucamonga, California. You can reach out to her office (for appointments etc.) via phone at (909) 376-5125.

Kimberly Fanning-shiles is licensed to practice in California (license number 98512) 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 1063867737.

Contact Information

	Kimberly Fanning-shiles, LMFT
	7365 Carnelian St, Ste. 202, Rancho Cucamonga, CA 91730-1158
	(909) 376-5125
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Fanning-shiles
Gender	Female
Speciality	Marriage & Family Therapist
Location	7365 Carnelian St, Rancho Cucamonga, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1063867737
Provider Enumeration Date: 04/29/2016
Last Update Date: 07/17/2018

Medicare PECOS Information:

PECOS PAC ID: 4587182258
Enrollment ID: I20250516000387

Medical Identifiers

Medical identifiers for Kimberly Fanning-shiles such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063867737	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMF 80277 (California)	Secondary
106H00000X	Marriage & Family Therapist	98512 (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. Kimberly Fanning-shiles allows following entities to bill medicare on her behalf.

Entity Name	Sud Specialty Group - Ca
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1972138238 PECOS PAC ID: 9537534177 Enrollment ID: O20230412001370

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. Kimberly Fanning-shiles 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
Kimberly Fanning-shiles, LMFT 7365 Carnelian St, Ste. 202, Rancho Cucamonga, CA 91730-1158 Ph: (909) 376-5125	Kimberly Fanning-shiles, LMFT 7365 Carnelian St, Ste. 202, Rancho Cucamonga, CA 91730-1158 Ph: (909) 376-5125

Reviews and Comments

Marriage & Family Therapist in Rancho Cucamonga, CA

Theresa Strand, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 11777 Sebastian Way Ste 102, Rancho Cucamonga, CA 91730 Phone: 909-989-9724
Keisha Marshall, MFT INTERN Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9047 Arrow Rte, Suite 170, Rancho Cucamonga, CA 91730 Phone: 909-466-8696
Lana Kayal, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10604 N Trademark Pkwy Ste 308, Rancho Cucamonga, CA 91730 Phone: 909-484-2848
Salvador Ardon, PH.D.,LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 7777-b Milliken Ave., Rancho Cucamonga, CA 91730 Phone: 909-944-3559 Fax: 909-944-3546
Ms. Ana Cecilia Arce, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10722 Arrow Rte, Suite 308, Rancho Cucamonga, CA 91730 Phone: 909-377-8707 Fax: 909-494-5505
Ms. Vicky A Popper, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 9540 Center Ave Ste 100, Rancho Cucamonga, CA 91730 Phone: 909-980-2789
Mrs. Nicole Lorin Serrano, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 10601 Civic Center Dr Ste 120c, Rancho Cucamonga, CA 91730 Phone: 909-300-5746

Kimberly Fanning-shiles, LMFT - Medicare Couples Therapy in Rancho Cucamonga, CA