Dr Chad Killpack, PSYD is a medicare enrolled "Psychologist" provider in Apo, New York. His current practice location is
48 Mdg Unit 5115, Edis, Apo, New York. You can reach out to his office (for appointments etc.) via phone at
(314) 226-3308.
Dr Chad Killpack is licensed to practice in Washington (license number PY 60340649) 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 1073892808.
Healthcare Provider's Profile
Full Name | Dr Chad Killpack |
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Gender | Male |
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Speciality | Psychologist |
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Location | 48 Mdg Unit 5115, Apo, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073892808
- Provider Enumeration Date: 08/10/2011
- Last Update Date: 07/14/2022
Medicare PECOS Information:
- PECOS PAC ID: 1759508690
- Enrollment ID: I20140815002404
Medical Identifiers
Medical identifiers for Dr Chad Killpack such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073892808 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | PY 60340649 (Washington) | Primary |
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 Chad Killpack 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 Chad Killpack, PSYD 48 Mdg Unit 5115, Apo, AE 09461 Ph: () - | Dr Chad Killpack, PSYD 48 Mdg Unit 5115, Edis, Apo, NY 09461 Ph: (314) 226-3308 |
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