Dr Ken D Bond Jr, PHD in Shawnee, OK - Medicare Psychologist Provider

Dr Ken D Bond Jr, PHD is a medicare enrolled "Psychologist" provider in Shawnee, Oklahoma. His current practice location is 1127 N Kickapoo Ave, Shawnee, Oklahoma. You can reach out to his office (for appointments etc.) via phone at (405) 214-0116.

Dr Ken D Bond Jr is licensed to practice in Oklahoma (license number 1104) 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 1285042002.

Contact Information

	Dr Ken D Bond Jr, PHD
	1127 N Kickapoo Ave, Shawnee, OK 74801-4845
	(405) 214-0116
	(877) 334-8552

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Ken D Bond Jr
Gender	Male
Speciality	Psychologist
Location	1127 N Kickapoo Ave, Shawnee, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285042002
Provider Enumeration Date: 07/24/2014
Last Update Date: 12/20/2018

Medicare PECOS Information:

PECOS PAC ID: 1951651751
Enrollment ID: I20180828003850

Medical Identifiers

Medical identifiers for Dr Ken D Bond Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285042002	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	1104 (Oklahoma)	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 Ken D Bond Jr allows following entities to bill medicare on his behalf.

Entity Name	Millennium Medical Services, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245286285 PECOS PAC ID: 6204730856 Enrollment ID: O20040105000859

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 Ken D Bond Jr 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 Ken D Bond Jr, PHD 33007 45th St, Shawnee, OK 74804-3429 Ph: (405) 214-0116	Dr Ken D Bond Jr, PHD 1127 N Kickapoo Ave, Shawnee, OK 74801-4845 Ph: (405) 214-0116

Reviews and Comments

Psychologist in Shawnee, OK

Keeley D Mitchell, M. ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 326 N Union Ave, Shawnee, OK 74801 Phone: 405-273-6794 Fax: 405-878-1037
Jill Dunn, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 326 N Union Ave, Shawnee, OK 74801 Phone: 405-273-6794
Karen Anne Hynes, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 504 N Broadway Ave, Shawnee, OK 74801 Phone: 405-275-1844
Dr. Sue Elizabeth Stone, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2307 S Gordon Cooper Dr, Citizen Potawatomi Nation Health Services, Shawnee, OK 74801 Phone: 405-273-5236 Fax: 405-878-4690
Theresa Wallis, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 201 N Broadway Ave, Shawnee, OK 74801 Phone: 580-748-0342 Fax: 405-386-3213
Dr. Latisha Lynn Bader, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2307 S Gordon Cooper Dr, Shawnee, OK 74801 Phone: 405-273-5236 Fax: 405-273-4345

Dr Ken D Bond Jr, PHD - Medicare Psychologist in Shawnee, OK