Dr Kevin Kukoleck, PSYD in Travis Afb, CA - Medicare Clinical Psychologist Provider

Dr Kevin Kukoleck, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Travis Afb, California. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Psychology Consultants Inc and his current practice location is 101 Bodin Cir, Travis Afb, California. You can reach out to his office (for appointments etc.) via phone at (707) 423-5174.

Dr Kevin Kukoleck is licensed to practice in California (license number 29905) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295821171.

Contact Information

	Dr Kevin Kukoleck, PSYD
	101 Bodin Cir, Travis Afb, CA 94535-1809
	(707) 423-5174
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kevin Kukoleck
Gender	Male
Speciality	Clinical Psychologist
Experience	26 Years
Location	101 Bodin Cir, Travis Afb, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kevin Kukoleck graduated from medical school in 1998

NPI Data:

NPI Number: 1295821171
Provider Enumeration Date: 10/05/2006
Last Update Date: 09/25/2024

Medicare PECOS Information:

PECOS PAC ID: 2466466768
Enrollment ID: I20211019002193

Medical Identifiers

Medical identifiers for Dr Kevin Kukoleck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295821171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	08214 (Ohio)	Secondary
103TC0700X	Psychologist - Clinical	29905 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychology Consultants Inc	2163310475	18

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 Kukoleck allows following entities to bill medicare on his behalf.

Entity Name	Psychology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205882941 PECOS PAC ID: 2163310475 Enrollment ID: O20040309000096

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326

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 Kukoleck 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 Kevin Kukoleck, PSYD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174	Dr Kevin Kukoleck, PSYD 101 Bodin Cir, Travis Afb, CA 94535-1809 Ph: (707) 423-5174

Reviews and Comments

Psychologist in Travis Afb, CA

Dr. Paul Douglas Hauck, PHD. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 60mdg/sgohh, 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Dr. Melissa Fredette, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, 60 Mdg/sgop, Travis Afb, CA 94535 Phone: 847-302-3537
Dr. William Anthony Satterfield, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, 60 Mdg/sgohh, Travis Afb, CA 94535 Phone: 707-423-5174
Dr. Robert Wayne Seals, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174
Dr. Tiffany Tajiri-white, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-3750
Harifah Hendrickson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 101 Bodin Cir, Travis Afb, CA 94535 Phone: 707-423-5174

Dr Kevin Kukoleck, PSYD - Medicare Psychologist in Travis Afb, CA