Kelly Elizabeth King, PHD, LP - Medicare Psychologist in Minneapolis, MN

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Kelly Elizabeth King, PHD, LP is a medicare enrolled "Psychologist - Clinical" provider in Minneapolis, Minnesota. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Fairview Express Care and her current practice location is 2512 S 7th St, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 626-6777.

Kelly Elizabeth King is licensed to practice in Minnesota (license number LP 5429) 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 1679840391.

Contact Information

Kelly Elizabeth King, PHD, LP
2512 S 7th St,
Minneapolis, MN 55454-1404
(612) 626-6777
(612) 624-1446

Map and Direction




Healthcare Provider's Profile

Full NameKelly Elizabeth King
GenderFemale
SpecialityClinical Psychologist
Experience14 Years
Location2512 S 7th St, Minneapolis, Minnesota
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kelly Elizabeth King graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1679840391
  • Provider Enumeration Date: 11/23/2011
  • Last Update Date: 11/23/2011
  Medicare PECOS Information:
  • PECOS PAC ID: 4880869072
  • Enrollment ID: I20111216000577

Medical Identifiers

Medical identifiers for Kelly Elizabeth King such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679840391NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical LP 5429 (Minnesota)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Express Care33756451791537

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. Kelly Elizabeth King allows following entities to bill medicare on her behalf.
Entity NameUniversity Of Minnesota Physicians
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477598118
PECOS PAC ID: 9830001189
Enrollment ID: O20031104000532
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameUniversity Of Minnesota Health Clinics And Surgery Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053795187
PECOS PAC ID: 9133423304
Enrollment ID: O20160209000524

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. Kelly Elizabeth King 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
Kelly Elizabeth King, PHD, LP
420 Delaware St Se, Mmc 486,
Minneapolis, MN 55455-0341

Ph: (612) 624-9796		Kelly Elizabeth King, PHD, LP
2512 S 7th St,
Minneapolis, MN 55454-1404

Ph: (612) 626-6777

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.

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