Dr Kimberly Shaffer Tate, PSYD in Centerville, OH - Medicare Clinical Psychologist Provider

Dr Kimberly Shaffer Tate, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Centerville, Ohio. She graduated from medical school in 1986 and has 38 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is 35 Iron Gate Park Dr., Centerville, Ohio. You can reach out to her office (for appointments etc.) via phone at (937) 435-8864.

Dr Kimberly Shaffer Tate is licensed to practice in Ohio (license number 4664) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1154418903.

Contact Information

	Dr Kimberly Shaffer Tate, PSYD
	35 Iron Gate Park Dr., Centerville, OH 45459-0000
	(937) 435-8864
	(937) 435-8264

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly Shaffer Tate
Gender	Female
Speciality	Clinical Psychologist
Experience	38 Years
Location	35 Iron Gate Park Dr., Centerville, Ohio
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Kimberly Shaffer Tate graduated from medical school in 1986

NPI Data:

NPI Number: 1154418903
Provider Enumeration Date: 10/05/2006
Last Update Date: 07/09/2007

Medicare PECOS Information:

PECOS PAC ID: 0648223578
Enrollment ID: I20050304000002

Medical Identifiers

Medical identifiers for Dr Kimberly Shaffer Tate such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154418903	NPI	-	NPPES
028545000	Other	OH	MAGELLAN PIN
22000000356767	Other	OH	ANTHEM PIN
172428110968	Other	OH	HUMANA PIN
281859	Other	OH	VALUE OPTIONS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	4664 (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 Kimberly Shaffer Tate allows following entities to bill medicare on her behalf.

Entity Name	Southwestern Ohio Behavioral Health,llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376631713 PECOS PAC ID: 1658324579 Enrollment ID: O20050302000852

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 Kimberly Shaffer Tate 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 Kimberly Shaffer Tate, PSYD Po Box 41158, Centerville, OH 45441-0158 Ph: (937) 435-8864	Dr Kimberly Shaffer Tate, PSYD 35 Iron Gate Park Dr., Centerville, OH 45459-0000 Ph: (937) 435-8864

Reviews and Comments

Psychologist in Centerville, OH

Dr. Dick A. Genardi, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 323 Regency Ridge Dr, Centerville, OH 45459 Phone: 937-671-8630
Ms. Patricia J Hayes, PSY.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 77 W Elmwood Dr, Suite 202, Centerville, OH 45459 Phone: 937-436-0700 Fax: 937-424-5749
Ronald H Nelson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1284 Forest Walk Dr, Centerville, OH 45459 Phone: 937-434-2765
Dr. Katherine Theresa Platoni, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 50 South Main Street, Centerville, OH 45458 Phone: 937-321-4020 Fax: 937-435-8950
Dr. Stephen Wayne Emerick, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9863 Arn Dr, Centerville, OH 45458 Phone: 937-271-9560 Fax: 937-439-3747
Ms. Yolanda M Crooms, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9086 Payne Farm Ln, Centerville, OH 45458 Phone: 937-350-5074

Dr Kimberly Shaffer Tate, PSYD - Medicare Psychologist in Centerville, OH