Dr Kyle Raymond Kwon Dexter, PHD in Fairbanks, AK - Medicare Psychologist Provider

Dr Kyle Raymond Kwon Dexter, PHD is a medicare enrolled "Psychologist" provider in Fairbanks, Alaska. His current practice location is 122 1st Ave Ste 400, Fairbanks, Alaska. You can reach out to his office (for appointments etc.) via phone at (907) 452-8251.

Dr Kyle Raymond Kwon Dexter is licensed to practice in Alaska (license number 164185) 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 1447725809.

Contact Information

	Dr Kyle Raymond Kwon Dexter, PHD
	122 1st Ave Ste 400, Fairbanks, AK 99701-4871
	(907) 452-8251
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kyle Raymond Kwon Dexter
Gender	Male
Speciality	Psychologist
Location	122 1st Ave Ste 400, Fairbanks, Alaska
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447725809
Provider Enumeration Date: 10/11/2018
Last Update Date: 11/30/2022

Medicare PECOS Information:

PECOS PAC ID: 3779828991
Enrollment ID: I20210601000531

Medical Identifiers

Medical identifiers for Dr Kyle Raymond Kwon Dexter such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447725809	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TA0400X	Psychologist - Addiction (substance Use Disorder)	164185 (Alaska)	Secondary
103TC0700X	Psychologist - Clinical	022959 (New York)	Secondary
103T00000X	Psychologist	164185 (Alaska)	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 Raymond Kwon Dexter allows following entities to bill medicare on his behalf.

Entity Name	Tanana Chiefs Conference
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821201278 PECOS PAC ID: 9537050109 Enrollment ID: O20050111000954

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 Raymond Kwon Dexter 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 Raymond Kwon Dexter, PHD 214 Driveway St, Fairbanks, AK 99701-2806 Ph: (603) 834-5929	Dr Kyle Raymond Kwon Dexter, PHD 122 1st Ave Ste 400, Fairbanks, AK 99701-4871 Ph: (907) 452-8251

Reviews and Comments

Psychologist in Fairbanks, AK

Dr. Hayley M Allison, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 909 Cushman St Ste 205, Fairbanks, AK 99701 Phone: 907-378-0139 Fax: 877-645-2882
Samantha Rene Murphy, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3524 Industrial Ave, Fairbanks, AK 99701 Phone: 907-290-6019
Ms. Kornelia Grabinska, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1040 Meadow Mouse Rd, Fairbanks, AK 99709 Phone: 907-479-8933 Fax: 907-479-8934
Dr. Stephen Parker, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1030 Meadow Mouse Rd, Fairbanks, AK 99709 Phone: 907-479-6008
Dr. Christopher Scott Brown, PSY.D., ABPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 250 Cushman St Ste 3e, Fairbanks, AK 99701 Phone: 907-799-7695 Fax: 907-328-0907
Siegfried A Fink, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 688 Chena Ridge Rd, Fairbanks, AK 99709 Phone: 907-457-4614 Fax: 907-457-4614
Delores E Morris, MA Psychologist Medicare: Not Enrolled in Medicare Practice Location: 912 Barnette St, Fairbanks, AK 99701 Phone: 907-456-4729 Fax: 907-456-4623

Dr Kyle Raymond Kwon Dexter, PHD - Medicare Psychologist in Fairbanks, AK