Kiersten Victoria Sippio, in San Antonio, TX - Medicare Psychologist Provider

Kiersten Victoria Sippio, is a medicare enrolled "Psychologist" provider in San Antonio, Texas. Her current practice location is 4242 Medical Dr Ste 6300, San Antonio, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Kiersten Victoria Sippio is licensed to practice in Texas (license number 38984) 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 1689144842.

Contact Information

	Kiersten Victoria Sippio,
	4242 Medical Dr Ste 6300, San Antonio, TX 78229-5372
	(844) 824-8775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kiersten Victoria Sippio
Gender	Female
Speciality	Psychologist
Location	4242 Medical Dr Ste 6300, San Antonio, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1689144842
Provider Enumeration Date: 11/30/2018
Last Update Date: 10/13/2025

Medicare PECOS Information:

PECOS PAC ID: 3476918632
Enrollment ID: I20230427001005

Medical Identifiers

Medical identifiers for Kiersten Victoria Sippio such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1689144842	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PSY.0005776 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	38984 (Texas)	Secondary
103T00000X	Psychologist	38984 (Texas)	Primary
103G00000X	Clinical Neuropsychologist	PSY.0005776 (Colorado)	Secondary
103G00000X	Clinical Neuropsychologist	38984 (Texas)	Secondary
106S00000X	Behavior Technician	(* (Not Available))	Secondary

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. Kiersten Victoria Sippio allows following entities to bill medicare on her behalf.

Entity Name	Family Care Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790141984 PECOS PAC ID: 5991064420 Enrollment ID: O20180109000960

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. Kiersten Victoria Sippio 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
Kiersten Victoria Sippio, 4820 Rusina Rd Ste A, Colorado Springs, CO 80907-8127 Ph: (504) 234-9433	Kiersten Victoria Sippio, 4242 Medical Dr Ste 6300, San Antonio, TX 78229-5372 Ph: (844) 824-8775

Reviews and Comments

Psychologist in San Antonio, TX

Dr. Trudi Zaplac, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 8626 Tesoro Dr Ste 490, San Antonio, TX 78217 Phone: 210-202-0100
Joshua D Essery, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8535 Tom Slick, San Antonio, TX 78229 Phone: 210-616-0300
Dr. Jesus Aranda-cano, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Rd, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700
Dr. Nancy Sylvia L. Witt, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7272 Wurzbach Rd, Suite 706, San Antonio, TX 78240 Phone: 210-615-3483 Fax: 210-593-9863
Thomas Bernard Holland, PSY. D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1100 Wilford Hall Loop, San Antonio, TX 78236 Phone: 304-702-5431
Dr. David R Zimmermann, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 616 W Russell Pl, San Antonio, TX 78212 Phone: 800-257-8715 Fax: 800-819-1655
Russel L Thompson, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7400 Blanco Road, Suite 126, San Antonio, TX 78216 Phone: 210-699-8700 Fax: 210-587-2454

Kiersten Victoria Sippio, - Medicare Psychologist in San Antonio, TX