Dr Matthew Kingsbury, PSYD, LP - Medicare Psychologist in Maple Grove, MN

Dr Matthew Kingsbury, PSYD, LP is a medicare enrolled "Psychologist" provider in Maple Grove, Minnesota. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Parker Collins Family Mental Health Pllc and his current practice location is 11316 86th Ave N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 400-8000.

Dr Matthew Kingsbury is licensed to practice in Minnesota (license number LP6684) 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 1104224120.

Contact Information

Dr Matthew Kingsbury, PSYD, LP
11316 86th Ave N,
Maple Grove, MN 55369-4528
(763) 400-8000
(763) 400-8000

Map and Direction




Healthcare Provider's Profile

Full NameDr Matthew Kingsbury
GenderMale
SpecialityClinical Psychologist
Experience5 Years
Location11316 86th Ave N, Maple Grove, Minnesota
Accepts Medicare AssignmentsYes. 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 Matthew Kingsbury graduated from medical school in 2019
  NPI Data:
  • NPI Number: 1104224120
  • Provider Enumeration Date: 12/08/2014
  • Last Update Date: 07/12/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 2062894884
  • Enrollment ID: I20220726003250

Medical Identifiers

Medical identifiers for Dr Matthew Kingsbury such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104224120NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist LP6684 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Parker Collins Family Mental Health Pllc83253380318

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 Matthew Kingsbury allows following entities to bill medicare on his behalf.
Entity NameParker Collins Family Mental Health Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487927067
PECOS PAC ID: 8325338031
Enrollment ID: O20160609000216

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 Matthew Kingsbury 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 AddressPractice Location Address
Dr Matthew Kingsbury, PSYD, LP
11316 86th Ave N,
Maple Grove, MN 55369-4528

Ph: (763) 400-8000
Dr Matthew Kingsbury, PSYD, LP
11316 86th Ave N,
Maple Grove, MN 55369-4528

Ph: (763) 400-8000

Reviews and Comments


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