Dr Kathryn Anne Wyman-chick, PSYD, LP is a medicare enrolled "Clinical Neuropsychologist" provider in Saint Paul, Minnesota. She graduated from medical school in 2015 and has 9 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Park Nicollet Clinic and her current practice location is
295 Phalen Blvd, Saint Paul, Minnesota. You can reach out to her office (for appointments etc.) via phone at
(651) 495-6200.
Dr Kathryn Anne Wyman-chick is licensed to practice in Minnesota (license number LP6151) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710118054.
Healthcare Provider's Profile
| Full Name | Dr Kathryn Anne Wyman-chick |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 9 Years |
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| Location | 295 Phalen Blvd, Saint Paul, Minnesota |
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| Accepts Medicare Assignments | Yes. She 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 Kathryn Anne Wyman-chick graduated from medical school in 2015
NPI Data:
- NPI Number: 1710118054
- Provider Enumeration Date: 08/04/2009
- Last Update Date: 07/18/2023
Medicare PECOS Information:
- PECOS PAC ID: 6305110180
- Enrollment ID: I20170918001052
Medical Identifiers
Medical identifiers for Dr Kathryn Anne Wyman-chick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710118054 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | LP6151 (Minnesota) | Secondary |
| 103TC0700X | Psychologist - Clinical | 0810005336 (Virginia) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103G00000X | Clinical Neuropsychologist | LP6151 (Minnesota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Park Nicollet Clinic | 7911819438 | 1530 |
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 Kathryn Anne Wyman-chick allows following entities to bill medicare on her behalf.
| Entity Name | Park Nicollet Clinic |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1780621904
PECOS PAC ID: 7911819438
Enrollment ID: O20031104000046 |
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| Entity Name | Group Health Plan Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710924683
PECOS PAC ID: 1759293954
Enrollment ID: O20031105000417 |
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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 Kathryn Anne Wyman-chick 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 Kathryn Anne Wyman-chick, PSYD, LP
8170 33rd Ave S, Ms 21110q,
Bloomington, MN 55425-4516
Ph: (651) 254-7900 | Dr Kathryn Anne Wyman-chick, PSYD, LP
295 Phalen Blvd,
Saint Paul, MN 55130-2400
Ph: (651) 495-6200 |
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