James Nicholas Kuciemba, PHD - Medicare Psychologist in Conroe, TX

James Nicholas Kuciemba, PHD is a medicare enrolled "Psychologist" provider in Conroe, Texas. His current practice location is 620 Longmire Rd, Conroe, Texas. You can reach out to his office (for appointments etc.) via phone at (936) 443-9629.

James Nicholas Kuciemba is licensed to practice in Texas (license number 39909) 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 1760100747.

Contact Information

James Nicholas Kuciemba, PHD
620 Longmire Rd,
Conroe, TX 77304-1819
(936) 443-9629
(855) 443-9630

Map and Direction




Healthcare Provider's Profile

Full NameJames Nicholas Kuciemba
GenderMale
SpecialityPsychologist
Location620 Longmire Rd, Conroe, Texas
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1760100747
  • Provider Enumeration Date: 08/16/2022
  • Last Update Date: 11/25/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 0345688644
  • Enrollment ID: I20240405001088

Medical Identifiers

Medical identifiers for James Nicholas Kuciemba such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1760100747NPI-NPPES
3770653-01MedicaidTX

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TF0000XPsychologist - Family 39909 (Texas)Secondary
103TM1800XPsychologist - Intellectual & Developmental Disabilities 39909 (Texas)Secondary
103TP2701XPsychologist - Group Psychotherapy 39909 (Texas)Secondary
103T00000XPsychologist 39909 (Texas)Primary
103G00000XClinical Neuropsychologist 39909 (Texas)Secondary
103TA0400XPsychologist - Addiction (substance Use Disorder) 39909 (Texas)Secondary
103TA0700XPsychologist - Adult Development & Aging 39909 (Texas)Secondary
103TB0200XPsychologist - Cognitive & Behavioral 39909 (Texas)Secondary
103TC0700XPsychologist - Clinical 39909 (Texas)Secondary
103TC1900XPsychologist - Counseling 39909 (Texas)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 39909 (Texas)Secondary
103TE1100XPsychologist - Exercise & Sports 39909 (Texas)Secondary

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. James Nicholas Kuciemba allows following entities to bill medicare on his behalf.
Entity NamePrevail Counseling & Forensic Mental Health Consulting, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1326488073
PECOS PAC ID: 7719330398
Enrollment ID: O20240402004199

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. James Nicholas Kuciemba 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
James Nicholas Kuciemba, PHD
620 Longmire Rd,
Conroe, TX 77304-1819

Ph: (936) 443-9629
James Nicholas Kuciemba, PHD
620 Longmire Rd,
Conroe, TX 77304-1819

Ph: (936) 443-9629

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.