Kayla Frodsham, is a medicare enrolled "Psychologist - Clinical" provider in Boise, Idaho. Her current practice location is
3753 N North St Apt H-302, Boise, Idaho. You can reach out to her office (for appointments etc.) via phone at
(208) 890-6917.
Kayla Frodsham is licensed to practice in Idaho (license number SE-203754) 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 1679939052.
Healthcare Provider's Profile
Full Name | Kayla Frodsham |
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Gender | Female |
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Speciality | Psychologist - Clinical |
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Location | 3753 N North St Apt H-302, Boise, Idaho |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1679939052
- Provider Enumeration Date: 01/14/2016
- Last Update Date: 01/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 6002347465
- Enrollment ID: I20241009002467
Medical Identifiers
Medical identifiers for Kayla Frodsham such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1679939052 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | SE-203754 (Idaho) | 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. Kayla Frodsham allows following entities to bill medicare on her behalf.
Entity Name | Northwest Neurobehavioral Health Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1013223445 PECOS PAC ID: 0446432512 Enrollment ID: O20110310000449 |
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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. Kayla Frodsham 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 |
Kayla Frodsham, 3753 N North St # H-302, Boise, ID 83703-6523 Ph: (208) 890-6917 | Kayla Frodsham, 3753 N North St Apt H-302, Boise, ID 83703-6523 Ph: (208) 890-6917 |
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