Kaylene Irizarry, PSYD is a medicare enrolled "Psychologist" provider in Poland, Ohio. Her current practice location is
819 Southwestern Run # 2, Poland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 953-1354.
Kaylene Irizarry is licensed to practice in Ohio (license number P.08428) 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 1487120770.
Healthcare Provider's Profile
| Full Name | Kaylene Irizarry |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 819 Southwestern Run # 2, Poland, Ohio |
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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: 1487120770
- Provider Enumeration Date: 10/15/2018
- Last Update Date: 01/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658807722
- Enrollment ID: I20241212001527
Medical Identifiers
Medical identifiers for Kaylene Irizarry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487120770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 37AC00371900 (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | C.2103689 (Ohio) | Secondary |
| 103T00000X | Psychologist | P.08428 (Ohio) | 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. Kaylene Irizarry allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Counseling Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699098418
PECOS PAC ID: 2860799459
Enrollment ID: O20160325000580 |
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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. Kaylene Irizarry 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 |
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Kaylene Irizarry, PSYD
Po Box 5545,
Poland, OH 44514-0545
Ph: (330) 953-1354 | Kaylene Irizarry, PSYD
819 Southwestern Run # 2,
Poland, OH 44514-3688
Ph: (330) 953-1354 |
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