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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