Stephanie Backof Holmes Kinnare, PSYCHOLOGIST in Jacksonville, FL

Stephanie Backof Holmes Kinnare, PSYCHOLOGIST is a medicare enrolled "Psychologist" provider in Jacksonville, Florida. Her current practice location is 13241 Bartram Park Blvd Unit 1901, Jacksonville, Florida. You can reach out to her office (for appointments etc.) via phone at (904) 376-3800.

Stephanie Backof Holmes Kinnare is licensed to practice in Florida (license number PY8730) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1841637428.

Contact Information

	Stephanie Backof Holmes Kinnare, PSYCHOLOGIST
	13241 Bartram Park Blvd Unit 1901, Jacksonville, FL 32258-5228
	(904) 376-3800
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Stephanie Backof Holmes Kinnare
Gender	Female
Speciality	Psychologist
Location	13241 Bartram Park Blvd Unit 1901, Jacksonville, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1841637428
Provider Enumeration Date: 05/23/2013
Last Update Date: 12/12/2023

Medicare PECOS Information:

PECOS PAC ID: 7315179363
Enrollment ID: I20140407000904

Medical Identifiers

Medical identifiers for Stephanie Backof Holmes Kinnare such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1841637428	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	PY8730 (Florida)	Primary

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. Stephanie Backof Holmes Kinnare allows following entities to bill medicare on her behalf.

Entity Name	Baptist Behavioral Health Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215906649 PECOS PAC ID: 7315166394 Enrollment ID: O20140924001767

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. Stephanie Backof Holmes Kinnare 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
Stephanie Backof Holmes Kinnare, PSYCHOLOGIST Po Box 748519, Atlanta, GA 30374-8519 Ph: (904) 376-3800	Stephanie Backof Holmes Kinnare, PSYCHOLOGIST 13241 Bartram Park Blvd Unit 1901, Jacksonville, FL 32258-5228 Ph: (904) 376-3800

Reviews and Comments

Psychologist in Jacksonville, FL

Dr. Purnima Kumar, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 5251 Emerson St, Jacksonville, FL 32207 Phone: 904-399-0324 Fax: 904-399-0420
Rebecca Marie Tuttle, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1746 Tiffany Pines Cir W, Jacksonville, FL 32225 Phone: 305-586-6044
Dr. Marisa Victoria Byles, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 12443 San Jose Blvd Ste 202, Jacksonville, FL 32223 Phone: 904-515-3503
Antionette Jarshawn Miller-maultsby, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4401 Will Scarlet Rd, Jacksonville, FL 32208 Phone: 904-352-0066
Dr. Brittany Cannon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6816 Southpoint Pkwy Ste 202, Jacksonville, FL 32216 Phone: 904-419-7792
Rachel Suzanne Wasson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000
Dr. Tanis Jill Ferman, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4500 San Pablo Rd S, Jacksonville, FL 32224 Phone: 904-953-2000

Stephanie Backof Holmes Kinnare, PSYCHOLOGIST - Medicare Psychologist in Jacksonville, FL