Killebrew Psychological Services, Llc - Medicare Mental Health Clinic in Madison, MS

Killebrew Psychological Services, Llc is a medicare enrolled mental health clinic (Psychologist) in Madison, Mississippi. The current practice location for Killebrew Psychological Services, Llc is 133 Berry Ln, Madison, Mississippi. For appointments, you can reach them via phone at (601) 750-6102. The mailing address for Killebrew Psychological Services, Llc is 133 Berry Ln, Madison, Mississippi and phone number is (601) 750-6102.

Killebrew Psychological Services, Llc is licensed to practice in Mississippi (license number 54946). The clinic also participates in the medicare program and its NPI number is 1073988051. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (601) 750-6102.

Contact Information

Killebrew Psychological Services, Llc
133 Berry Ln
Madison
MS 39110-8616
(601) 750-6102
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameKillebrew Psychological Services, Llc
SpecialityPsychologist
Location133 Berry Ln, Madison, Mississippi
Authorized Official Name and PositionAlyssa E. Killebrew (CLINICAL PSYCHOLOGIST)
Authorized Official Contact6017506102
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Killebrew Psychological Services, Llc
133 Berry Ln
Madison
MS 39110-8616

Ph: (601) 750-6102
Killebrew Psychological Services, Llc
133 Berry Ln
Madison
MS 39110-8616

Ph: (601) 750-6102

NPI Details:

NPI Number1073988051
Provider Enumeration Date12/02/2015
Last Update Date02/03/2022
Certification Date02/03/2022

Medicare PECOS Information:

Medicare PECOS PAC ID8426330226
Medicare Enrollment IDO20170130002648

Medical Identifiers

Medical identifiers for Killebrew Psychological Services, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073988051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist 54946 (Mississippi)Primary
251S00000XCommunity/behavioral Health 54946 (Mississippi)Secondary
302R00000XHealth Maintenance Organization 54946 (Mississippi)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Killebrew Psychological Services, Llc acts as a billing entity for following providers:
Provider NameAlyssa E Killebrew
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1306130125
PECOS PAC ID: 1052633294
Enrollment ID: I20141125001874

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.