Dr Kimberly Loraine Wells, PHD in Represa, CA - Medicare Psychologist Provider

Dr Kimberly Loraine Wells, PHD is a medicare enrolled "Psychologist" provider in Represa, California. Her current practice location is 300 Prison Rd, Represa, California. You can reach out to her office (for appointments etc.) via phone at (916) 985-8610.

Dr Kimberly Loraine Wells is licensed to practice in California (license number PSY27907) 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 1588901938.

Contact Information

	Dr Kimberly Loraine Wells, PHD
	300 Prison Rd, Represa, CA 95671-3001
	(916) 985-8610
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly Loraine Wells
Gender	Female
Speciality	Psychologist
Location	300 Prison Rd, Represa, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1588901938
Provider Enumeration Date: 01/04/2013
Last Update Date: 05/02/2022

Medicare PECOS Information:

PECOS PAC ID: 2769896422
Enrollment ID: I20210121000568

Medical Identifiers

Medical identifiers for Dr Kimberly Loraine Wells such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1588901938	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PSY27907 (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 Kimberly Loraine Wells allows following entities to bill medicare on her behalf.

Entity Name	Pacific Coast Psychology Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1932647468 PECOS PAC ID: 9335410729 Enrollment ID: O20170803000623

Entity Name	Hln Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073899191 PECOS PAC ID: 1052746559 Enrollment ID: O20200213002188

Entity Name	Guiding Families Corporation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1962123257 PECOS PAC ID: 5698130979 Enrollment ID: O20230421000333

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 Loraine Wells 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 Loraine Wells, PHD Po Box 221611, Sacramento, CA 95822-8611 Ph: (619) 244-4237	Dr Kimberly Loraine Wells, PHD 300 Prison Rd, Represa, CA 95671-3001 Ph: (916) 985-8610

Reviews and Comments

Psychologist in Represa, CA

Geneva Marie Palmer, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610 Fax: 916-294-3122
Dr. Catherine Jane Prudhomme, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610
Mrs. Tiffanie L Bell-sprinkel, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: Prison Rd, Represa, CA 95671 Phone: 916-985-8610
Susanna Farina, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610
Dr. James Dennis Scott, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 300 Prison Rd, Attn: Mental Health, Represa, CA 95671 Phone: 916-985-2561
Dr. Michael Bernard Vasquez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610
Dr. Melinda Susan Diciro, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 100 Prison Rd, Represa, CA 95671 Phone: 916-985-8610

Dr Kimberly Loraine Wells, PHD - Medicare Psychologist in Represa, CA