Kaitlin Phelps Fiedler, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Allentown, Pennsylvania. She graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Good Shepherd Rehabilitation Hospital and her current practice location is
850 S 5th St, Allentown, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(610) 776-3214.
Kaitlin Phelps Fiedler is licensed to practice in Pennsylvania (license number PS017699) 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 1699921924.
Healthcare Provider's Profile
| Full Name | Kaitlin Phelps Fiedler |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 12 Years |
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| Location | 850 S 5th St, Allentown, Pennsylvania |
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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:
- Kaitlin Phelps Fiedler graduated from medical school in 2012
NPI Data:
- NPI Number: 1699921924
- Provider Enumeration Date: 08/18/2008
- Last Update Date: 06/18/2019
Medicare PECOS Information:
- PECOS PAC ID: 6507088275
- Enrollment ID: I20180807000996
Medical Identifiers
Medical identifiers for Kaitlin Phelps Fiedler such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1699921924 | NPI | - | NPPES |
| 103563200-0001 | Medicaid | PA | |
| 027899 | Other | PA | INDIVIDUAL MEDICARE |
| 027899 | Other | PA | GROUP MEDICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 103TC0700X | Psychologist - Clinical | PS017699 (Pennsylvania) | Secondary |
| 103G00000X | Clinical Neuropsychologist | PS017699 (Pennsylvania) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Good Shepherd Rehabilitation Hospital | 9335032390 | 20 |
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. Kaitlin Phelps Fiedler allows following entities to bill medicare on her behalf.
| Entity Name | Good Shepherd Rehabilitation Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1427035039
PECOS PAC ID: 9335032390
Enrollment ID: O20040301000379 |
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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. Kaitlin Phelps Fiedler 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 |
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Kaitlin Phelps Fiedler, PSYD
1 Independence Pt, Suite 212,
Greenville, SC 29615-4545
Ph: (864) 797-6044 | Kaitlin Phelps Fiedler, PSYD
850 S 5th St,
Allentown, PA 18103-3308
Ph: (610) 776-3214 |
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