Dr Kenneth Kikuchi, PSYD in Park Ridge, IL - Medicare Psychologist Provider

Dr Kenneth Kikuchi, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Park Ridge, Illinois. His current practice location is 111 S Washington Ave Ste 202, Park Ridge, Illinois. You can reach out to his office (for appointments etc.) via phone at (872) 228-5326.

Dr Kenneth Kikuchi is licensed to practice in Illinois (license number 071009712) 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 1831673862.

Contact Information

	Dr Kenneth Kikuchi, PSYD
	111 S Washington Ave Ste 202, Park Ridge, IL 60068-4293
	(872) 228-5326
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Kikuchi
Gender	Male
Speciality	Psychologist - Clinical
Location	111 S Washington Ave Ste 202, Park Ridge, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1831673862
Provider Enumeration Date: 09/14/2018
Last Update Date: 02/05/2023

Medicare PECOS Information:

PECOS PAC ID: 3476925678
Enrollment ID: I20230216002796

Medical Identifiers

Medical identifiers for Dr Kenneth Kikuchi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1831673862	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	071009712 (Illinois)	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 Kenneth Kikuchi allows following entities to bill medicare on his behalf.

Entity Name	Kenko Interventions
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013620657 PECOS PAC ID: 2567834765 Enrollment ID: O20230216002708

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 Kenneth Kikuchi 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 Kenneth Kikuchi, PSYD 4828 Fargo Ave, Skokie, IL 60077-3345 Ph: (872) 228-5326	Dr Kenneth Kikuchi, PSYD 111 S Washington Ave Ste 202, Park Ridge, IL 60068-4293 Ph: (872) 228-5326

Reviews and Comments

Psychologist in Park Ridge, IL

Dr. Yuleung Eric To, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1400 Renaissance Dr, Suite 104, Park Ridge, IL 60068 Phone: 224-625-0280
Ilana Gross, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 36 Main St, Park Ridge, IL 60068 Phone: 847-692-6692
Dr. Jennifer Palmer, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1675 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2800
Dr. Laurie J Golden, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-6127 Fax: 847-723-2061
Mrs. Aubrey Hulsebosch, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1001 S Fairview Ave, Park Ridge, IL 60068 Phone: 847-653-3585
Dr. Ritu D Trivedi-purohit, PSYD. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1440 Renaissance Dr, Suite 200, Park Ridge, IL 60068 Phone: 847-742-6041 Fax: 866-565-9307
Dr. Stefanie Warning-probst, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1775 Dempster St, Park Ridge, IL 60068 Phone: 847-723-2210

Dr Kenneth Kikuchi, PSYD - Medicare Psychologist in Park Ridge, IL