Kaley Samantha Boress, PHD is a medicare enrolled "Clinical Neuropsychologist" provider in Iowa City, Iowa. She graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice State University Of Iowa and her current practice location is
200 Hawkins Dr, Iowa City, Iowa. You can reach out to her office (for appointments etc.) via phone at
(319) 356-4658.
Kaley Samantha Boress is licensed to practice in Iowa (license number 098354) 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 1992378400.
Healthcare Provider's Profile
| Full Name | Kaley Samantha Boress |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 200 Hawkins Dr, Iowa City, Iowa |
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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:
- Kaley Samantha Boress graduated from medical school in 2019
NPI Data:
- NPI Number: 1992378400
- Provider Enumeration Date: 07/22/2021
- Last Update Date: 08/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 6800292830
- Enrollment ID: I20210831000868
Medical Identifiers
Medical identifiers for Kaley Samantha Boress such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1992378400 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103T00000X | Psychologist | 098354 (Iowa) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 098354 (Iowa) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| State University Of Iowa | 7618884230 | 1549 |
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. Kaley Samantha Boress allows following entities to bill medicare on her behalf.
| Entity Name | State University Of Iowa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1477554814
PECOS PAC ID: 7618884230
Enrollment ID: O20031107000060 |
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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. Kaley Samantha Boress 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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Kaley Samantha Boress, PHD
200 Hawkins Dr,
Iowa City, IA 52242-1009
Ph: (319) 356-4658 | Kaley Samantha Boress, PHD
200 Hawkins Dr,
Iowa City, IA 52242-1009
Ph: (319) 356-4658 |
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