Dr Kim Lee Boyd, PSYD is a medicare enrolled "Psychologist" provider in Taylorsville, Utah. Her current practice location is
5770 S 1500 W, Taylorsville, Utah. You can reach out to her office (for appointments etc.) via phone at
(801) 313-7770.
Dr Kim Lee Boyd is licensed to practice in Utah (license number 12226713-2501) 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 1790973998.
Healthcare Provider's Profile
| Full Name | Dr Kim Lee Boyd |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 5770 S 1500 W, Taylorsville, Utah |
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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: 1790973998
- Provider Enumeration Date: 10/12/2007
- Last Update Date: 11/03/2021
Medicare PECOS Information:
- PECOS PAC ID: 3173918331
- Enrollment ID: I20220325000000
Medical Identifiers
Medical identifiers for Dr Kim Lee Boyd such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790973998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 3369 (Colorado) | Secondary |
| 103TS0200X | Psychologist - School | RN143287 (Colorado) | Secondary |
| 103T00000X | Psychologist | 12226713-2501 (Utah) | 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 Kim Lee Boyd allows following entities to bill medicare on her behalf.
| Entity Name | Ihc Health Services Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629260880
PECOS PAC ID: 1850209420
Enrollment ID: O20031105000079 |
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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. Dr Kim Lee Boyd 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 Kim Lee Boyd, PSYD
Po Box 27128,
Salt Lake City, UT 84127-0128
Ph: () - | Dr Kim Lee Boyd, PSYD
5770 S 1500 W,
Taylorsville, UT 84123-5216
Ph: (801) 313-7770 |
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