Dr Kevin James Mckittrick, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Roseville, Minnesota. His current practice location is
2720 Fairview Ave N Ste 100, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at
(651) 241-5290.
Dr Kevin James Mckittrick is licensed to practice in * (Not Available) (license number PY-60967347) 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 1932759842.
Healthcare Provider's Profile
| Full Name | Dr Kevin James Mckittrick |
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| Gender | Male |
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| Speciality | Clinical Neuropsychologist |
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| Location | 2720 Fairview Ave N Ste 100, Roseville, Minnesota |
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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: 1932759842
- Provider Enumeration Date: 09/13/2019
- Last Update Date: 02/07/2022
Medicare PECOS Information:
- PECOS PAC ID: 4981036340
- Enrollment ID: I20210422001087
Medical Identifiers
Medical identifiers for Dr Kevin James Mckittrick such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1932759842 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | PY.60967347 (Washington) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PY60967347 (Washington) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PY-60967347 (* (Not Available)) | 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 Kevin James Mckittrick allows following entities to bill medicare on his behalf.
| Entity Name | Minnesota Epilepsy Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1932118056
PECOS PAC ID: 6709771363
Enrollment ID: O20040220001025 |
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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 Kevin James Mckittrick 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 Kevin James Mckittrick, PSYD
2720 Fairview Ave N Ste 100,
Roseville, MN 55113-1306
Ph: (781) 420-6815 | Dr Kevin James Mckittrick, PSYD
2720 Fairview Ave N Ste 100,
Roseville, MN 55113-1306
Ph: (651) 241-5290 |
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