Dr Kyle Donald Dennison, PSYD is a medicare enrolled "Psychologist" provider in Lexington, Kentucky. His current practice location is
230 Lexington Green Cir Ste 420, Lexington, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(859) 287-0760.
Dr Kyle Donald Dennison is licensed to practice in Washington (license number 61444148) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1790155968.
Healthcare Provider's Profile
| Full Name | Dr Kyle Donald Dennison |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 230 Lexington Green Cir Ste 420, Lexington, Kentucky |
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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: 1790155968
- Provider Enumeration Date: 10/01/2015
- Last Update Date: 06/17/2024
Medicare PECOS Information:
- PECOS PAC ID: 4981049855
- Enrollment ID: I20240301000587
Medical Identifiers
Medical identifiers for Dr Kyle Donald Dennison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1790155968 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 276359 (Kentucky) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 61444148 (Washington) | 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 Kyle Donald Dennison allows following entities to bill medicare on his behalf.
| Entity Name | Edelson And Associates Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1952466468
PECOS PAC ID: 9133019466
Enrollment ID: O20040318001336 |
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| Entity Name | Optum Behavioral Care Of North Carolina, P.c. |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689449910
PECOS PAC ID: 5092120030
Enrollment ID: O20240328002673 |
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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 Kyle Donald Dennison 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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Dr Kyle Donald Dennison, PSYD
27005 211th Ave Se,
Covington, WA 98042-6107
Ph: (206) 407-6121 | Dr Kyle Donald Dennison, PSYD
230 Lexington Green Cir Ste 420,
Lexington, KY 40503-3337
Ph: (859) 287-0760 |
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