Dr Thomas Kefalas, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Grand Rapids, Minnesota. He graduated from medical school in 1990 and has 34 years of diverse experience with area of expertise as Psychiatry. He is a member of the group practice Northland Counseling Center Inc and his current practice location is
215 Se 2nd Ave, Grand Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(218) 326-1274.
Dr Thomas Kefalas is licensed to practice in Minnesota (license number 44743) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1609842897.
Physician's Profile
| Full Name | Dr Thomas Kefalas |
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| Gender | Male |
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| Speciality | Psychiatry |
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| Experience | 34 Years |
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| Location | 215 Se 2nd Ave, Grand Rapids, Minnesota |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Thomas Kefalas graduated from medical school in 1990
NPI Data:
- NPI Number: 1609842897
- Provider Enumeration Date: 02/27/2006
- Last Update Date: 02/22/2009
Medicare PECOS Information:
- PECOS PAC ID: 4880886019
- Enrollment ID: I20101006001178
Medical Identifiers
Medical identifiers for Dr Thomas Kefalas such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1609842897 | NPI | - | NPPES |
| 250493600 | Medicaid | MN | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 44743 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Northland Counseling Center Inc | 1153389242 | 8 |
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 Thomas Kefalas allows following entities to bill medicare on his behalf.
| Entity Name | Northland Counseling Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1164610986
PECOS PAC ID: 1153389242
Enrollment ID: O20041221000396 |
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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 Thomas Kefalas 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 Thomas Kefalas, MD
215 Se 2nd Ave,
Grand Rapids, MN 55744-3615
Ph: (218) 326-1274 | Dr Thomas Kefalas, MD
215 Se 2nd Ave,
Grand Rapids, MN 55744-3615
Ph: (218) 326-1274 |
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