Kayla Neisen, NCSP, SSP is a
Psychologist based in Bowen, Illinois. Kayla Neisen is licensed to practice in Illinois (license number 904011) and her current practice location is
607 N Worrell St, Bowen, Illinois. She can be reached at her office (for appointments etc.) via phone at
(217) 842-5236.
NPI number for Kayla Neisen is 1730606443 and her current mailing address is Po Box 215, Augusta, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730606443.
Healthcare Provider's Profile
Full Name | Kayla Neisen |
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Gender | Female |
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Speciality | Psychologist |
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Location | 607 N Worrell St, Bowen, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1730606443
- Provider Enumeration Date: 08/23/2017
- Last Update Date: 03/17/2018
Medical Identifiers
Medical identifiers for Kayla Neisen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1730606443 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | 904011 (Illinois) | 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. Kayla Neisen is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kayla Neisen, NCSP, SSP Po Box 215, Augusta, IL 62311-0215 Ph: (217) 392-2125 | Kayla Neisen, NCSP, SSP 607 N Worrell St, Bowen, IL 62316-1048 Ph: (217) 842-5236 |
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