Dr Kyle Edward Ferguson, PHD in Olympia, WA - Medicare Psychologist Provider

Dr Kyle Edward Ferguson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Olympia, Washington. His current practice location is 525 Lilly Rd Ne, Olympia, Washington. You can reach out to his office (for appointments etc.) via phone at (360) 493-7230.

Dr Kyle Edward Ferguson is licensed to practice in Washington (license number PY60129975) 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 1164739058.

Contact Information

	Dr Kyle Edward Ferguson, PHD
	525 Lilly Rd Ne, Olympia, WA 98506-5101
	(360) 493-7230
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyle Edward Ferguson
Gender	Male
Speciality	Psychologist - Clinical
Location	525 Lilly Rd Ne, Olympia, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1164739058
Provider Enumeration Date: 09/13/2010
Last Update Date: 04/25/2018

Medicare PECOS Information:

PECOS PAC ID: 7911179239
Enrollment ID: I20111011000242

Medical Identifiers

Medical identifiers for Dr Kyle Edward Ferguson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1164739058	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	PY60129975 (Washington)	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 Kyle Edward Ferguson allows following entities to bill medicare on his behalf.

Entity Name	Puyallup Tribal Health Authority
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1063455665 PECOS PAC ID: 9436047537 Enrollment ID: O20040309001482

Entity Name	Squaxin Island Tribe
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669532578 PECOS PAC ID: 2860383122 Enrollment ID: O20040324000796

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 Kyle Edward Ferguson 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 Kyle Edward Ferguson, PHD Po Box 3360, Portland, OR 97208-3360 Ph: () -	Dr Kyle Edward Ferguson, PHD 525 Lilly Rd Ne, Olympia, WA 98506-5101 Ph: (360) 493-7230

Reviews and Comments

Psychologist in Olympia, WA

Dr. Lori Woehler, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 9101 Steilacoom Rd Se Unit 26, Olympia, WA 98513 Phone: 425-785-1553
Ms. Dana Elise Shaw, MD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 3436 Mary Elder Rd Ne, Olympia, WA 98506 Phone: 360-528-2590
Dr. David Peter Monson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2633a Parkmont Ln Sw, Ste F, Olympia, WA 98502 Phone: 360-870-8744 Fax: 360-352-3289
Xinyi Liu, DBH, RDN Psychologist Medicare: Medicare Enrolled Practice Location: 3435 Martin Way E Ste C, Olympia, WA 98506 Phone: 786-838-3890
Dr. Terilee Wingate, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3430 Pacific Ave Se Ste A6, Pmb 308, Olympia, WA 98501 Phone: 360-789-7918
Dr. John Richter Van Eenwyk, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1026 State Ave Ne, Olympia, WA 98506 Phone: 360-352-2974
Dr. Patricia Marie Short, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1026 State Ave Ne, Olympia, WA 98506 Phone: 360-709-3400 Fax: 360-956-1234

Dr Kyle Edward Ferguson, PHD - Medicare Psychologist in Olympia, WA