Krissa Kirby, PHD in Grand Rapids, MI - Medicare Clinical Psychologist Provider

Krissa Kirby, PHD is a medicare enrolled "Psychologist - Clinical" provider in Grand Rapids, Michigan. She graduated from medical school in 2000 and has 24 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Pine Rest Christian Mental Health Services and her current practice location is 1870 Leonard St Ne, Grand Rapids, Michigan. You can reach out to her office (for appointments etc.) via phone at (616) 956-9619.

Krissa Kirby is licensed to practice in Michigan (license number 6301016704) 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 1386639870.

Contact Information

	Krissa Kirby, PHD
	1870 Leonard St Ne, Grand Rapids, MI 49505-5650
	(616) 956-9619
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Krissa Kirby
Gender	Female
Speciality	Clinical Psychologist
Experience	24 Years
Location	1870 Leonard St Ne, Grand Rapids, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Krissa Kirby graduated from medical school in 2000

NPI Data:

NPI Number: 1386639870
Provider Enumeration Date: 09/12/2005
Last Update Date: 09/18/2023

Medicare PECOS Information:

PECOS PAC ID: 1153303326
Enrollment ID: I20160629001848

Medical Identifiers

Medical identifiers for Krissa Kirby such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1386639870	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY6399 (Florida)	Secondary
103T00000X	Psychologist	390 (Montana)	Secondary
103TC0700X	Psychologist - Clinical	6301016704 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pine Rest Christian Mental Health Services	4981506508	314

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. Krissa Kirby allows following entities to bill medicare on her behalf.

Entity Name	Pine Rest Christian Mental Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780695411 PECOS PAC ID: 4981506508 Enrollment ID: O20040213000149

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. Krissa Kirby 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
Krissa Kirby, PHD 300 68th St Se, Grand Rapids, MI 49548-6927 Ph: (616) 455-5000	Krissa Kirby, PHD 1870 Leonard St Ne, Grand Rapids, MI 49505-5650 Ph: (616) 956-9619

Reviews and Comments

Psychologist in Grand Rapids, MI

Dynetta Clark, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 805 Leonard St Ne, Grand Rapids, MI 49503 Phone: 616-451-2021 Fax: 616-774-1001
Mrs. Amy E Pugh, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 35 Michigan St Ne Ste 5201, Grand Rapids, MI 49503 Phone: 616-267-2830 Fax: 616-267-9024
Meghan Cytacki-lewis, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 333 Bridge St Nw Ste 1120, Grand Rapids, MI 49504 Phone: 616-805-3660
Michelle Marie Muenzenmeyer, LLP, CHMC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2020 Raybrook St Se Ste 102-1, Grand Rapids, MI 49546 Phone: 616-795-0900 Fax: 616-795-0899
Jehricole Olenzuk, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 829 Forest Hill Ave Se, Grand Rapids, MI 49546 Phone: 616-949-2410
Adrian Hernandez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 360 E Beltline Ave Ne Ste 100, Grand Rapids, MI 49506 Phone: 616-805-3660
Marcia Hollingsworth, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1870 Leonard Ne, Grand Rapids, MI 49505 Phone: 616-956-1122 Fax: 616-956-8033

Krissa Kirby, PHD - Medicare Psychologist in Grand Rapids, MI