Dr Kent Alan Eichenauer, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bellefontaine, Ohio. His current practice location is
205 Palmer Ave, Bellefontaine, Ohio. You can reach out to his office (for appointments etc.) via phone at
(937) 206-6500.
Dr Kent Alan Eichenauer is licensed to practice in Ohio (license number 4151) 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 1396807434.
Healthcare Provider's Profile
| Full Name | Dr Kent Alan Eichenauer |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 205 Palmer Ave, Bellefontaine, Ohio |
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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: 1396807434
- Provider Enumeration Date: 12/14/2006
- Last Update Date: 12/03/2018
Medicare PECOS Information:
- PECOS PAC ID: 9638337009
- Enrollment ID: I20120313000358
Medical Identifiers
Medical identifiers for Dr Kent Alan Eichenauer such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1396807434 | NPI | - | NPPES |
| 113445 | Other | OH | MANAGED HEALTH NETWORK |
| 3416952163A12 | Other | OH | ANTHEM |
| 0783657 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | 4151 (Ohio) | 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 Kent Alan Eichenauer allows following entities to bill medicare on his behalf.
| Entity Name | Kent Eichenauer, Psyd, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629783907
PECOS PAC ID: 7012382443
Enrollment ID: O20230417001345 |
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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 Kent Alan Eichenauer 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 Kent Alan Eichenauer, PSYD
Po Box 104,
Urbana, OH 43078-0104
Ph: (937) 206-6500 | Dr Kent Alan Eichenauer, PSYD
205 Palmer Ave,
Bellefontaine, OH 43311
Ph: (937) 206-6500 |
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