Dr Amy Kathryn Connery, PSY D, ABPP/CN is a medicare enrolled "Clinical Neuropsychologist" provider in Boulder, Colorado. Her current practice location is
954 North St, Suite 305, Boulder, Colorado. You can reach out to her office (for appointments etc.) via phone at
(720) 378-1224.
Dr Amy Kathryn Connery is licensed to practice in Colorado (license number 3447) 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 1598832255.
Healthcare Provider's Profile
| Full Name | Dr Amy Kathryn Connery |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 954 North St, Boulder, Colorado |
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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: 1598832255
- Provider Enumeration Date: 11/29/2006
- Last Update Date: 06/16/2010
Medicare PECOS Information:
- PECOS PAC ID: 4688002447
- Enrollment ID: I20200310002463
Medical Identifiers
Medical identifiers for Dr Amy Kathryn Connery such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1598832255 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PSY19276 (California) | Secondary |
| 103T00000X | Psychologist | 62661702501 (Utah) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 3447 (Colorado) | 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 Amy Kathryn Connery allows following entities to bill medicare on her behalf.
| Entity Name | University Physicians Incorporated |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1962461889
PECOS PAC ID: 3476465667
Enrollment ID: O20031105000375 |
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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 Amy Kathryn Connery 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 |
|---|
Dr Amy Kathryn Connery, PSY D, ABPP/CN
Po Box 925,
Boulder, CO 80306-0925
Ph: (720) 378-1224 | Dr Amy Kathryn Connery, PSY D, ABPP/CN
954 North St, Suite 305,
Boulder, CO 80304-3419
Ph: (720) 378-1224 |
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