Ginger Kendell Brainard, is a
Psychologist - Clinical Child & Adolescent based in La Salle, Illinois. Ginger Kendell Brainard is licensed to practice in Illinois (license number 071006571) and her current practice location is
2970 Chartres St, La Salle, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 223-0196.
NPI number for Ginger Kendell Brainard is 1871842450 and her current mailing address is 2970 Chartres St, La Salle, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1871842450.
Healthcare Provider's Profile
| Full Name | Ginger Kendell Brainard |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 2970 Chartres St, La Salle, Illinois |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1871842450
- Provider Enumeration Date: 08/29/2012
- Last Update Date: 08/29/2012
Medical Identifiers
Medical identifiers for Ginger Kendell Brainard such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871842450 | NPI | - | NPPES |
| 071006571 | Other | IL | ILLINOIS LICENSE 071006571 |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071006571 (Illinois) | Primary |
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. Ginger Kendell Brainard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Ginger Kendell Brainard, 2970 Chartres St, La Salle, IL 61301-1097 Ph: (815) 223-0196 | Ginger Kendell Brainard, 2970 Chartres St, La Salle, IL 61301-1097 Ph: (815) 223-0196 |
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