Dr Vicki Van Cleave, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Campbellsville, Kentucky. She graduated from medical school in 1999 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
1306a E Broadway St, Campbellsville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(270) 215-2373.
Dr Vicki Van Cleave is licensed to practice in Kentucky (license number KY1601) 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 1134330574.
Healthcare Provider's Profile
| Full Name | Dr Vicki Van Cleave |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 1306a E Broadway St, Campbellsville, Kentucky |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Vicki Van Cleave graduated from medical school in 1999
NPI Data:
- NPI Number: 1134330574
- Provider Enumeration Date: 05/25/2007
- Last Update Date: 08/19/2019
Medicare PECOS Information:
- PECOS PAC ID: 8123911005
- Enrollment ID: I20140827002124
Medical Identifiers
Medical identifiers for Dr Vicki Van Cleave such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1134330574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 0810003638 (Virginia) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1601 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 324 (Montana) | Secondary |
| 103TC0700X | Psychologist - Clinical | 2472 (Colorado) | Secondary |
| 103TC0700X | Psychologist - Clinical | KY1601 (Kentucky) | Primary |
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 Vicki Van Cleave 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 Vicki Van Cleave, PSYD
132 Pearl Ave,
Campbellsville, KY 42718
Ph: (804) 245-4311 | Dr Vicki Van Cleave, PSYD
1306a E Broadway St,
Campbellsville, KY 42718-1561
Ph: (270) 215-2373 |
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