Quinn Killingsworth, in Roseville, CA - Medicare Counselor Provider

Quinn Killingsworth, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Roseville, California. His current practice location is 730 Sunrise Ave, Suite 201, 250, 260, 261, 271, Roseville, California. You can reach out to his office (for appointments etc.) via phone at (916) 782-3737.

Quinn Killingsworth is licensed to practice in * (Not Available) (license number ) 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 1548656721.

Contact Information

	Quinn Killingsworth,
	730 Sunrise Ave, Suite 201, 250, 260, 261, 271, Roseville, CA 95661-4567
	(916) 782-3737
	(916) 782-3739

Map and Direction

Healthcare Provider's Profile

Full Name	Quinn Killingsworth
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	730 Sunrise Ave, Roseville, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548656721
Provider Enumeration Date: 04/14/2015
Last Update Date: 05/31/2022

Medicare PECOS Information:

PECOS PAC ID: 4880072818
Enrollment ID: I20220603001351

Medical Identifiers

Medical identifiers for Quinn Killingsworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548656721	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Quinn Killingsworth allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Quinn Killingsworth 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
Quinn Killingsworth, Po Box 6028, Auburn, CA 95604-6028 Ph: (530) 878-5166	Quinn Killingsworth, 730 Sunrise Ave, Suite 201, 250, 260, 261, 271, Roseville, CA 95661-4567 Ph: (916) 782-3737

Reviews and Comments

Counselor in Roseville, CA

Madison Alexa Gomez, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1098 Melody Ln Ste 101, Roseville, CA 95678 Phone: 916-884-3812
Brandy Luissha Baggett, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1620 Santa Clara Dr Ste 100, Roseville, CA 95661 Phone: 916-786-3750 Fax: 916-786-3761
Manouela Krasteva Dimova, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1133 Coloma Way, Roseville, CA 95661 Phone: 916-774-6647
Mrs. Janelle Leeanne Stepper, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1430 Blue Oaks Blvd Ste 120, Roseville, CA 95747 Phone: 916-755-9923
Mr. Roman Naseri I, RADT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1133 Coloma Way, Roseville, CA 95661 Phone: 916-798-5485
Nary Rath, ACSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 Douglas Blvd Ste 170, Roseville, CA 95661 Phone: 916-740-3721
Dr. Jennica Rachel Jenkins, PSYD, LPC, LPCC, PPS Counselor Medicare: Not Enrolled in Medicare Practice Location: 1899 E Roseville Pkwy Ste 140, Roseville, CA 95661 Phone: 916-747-3799

Quinn Killingsworth, - Medicare Counselor in Roseville, CA