Dr Kevin James Mckittrick, PSYD - Medicare in Roseville, MN

Dr Kevin James Mckittrick, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Roseville, Minnesota. His current practice location is 2720 Fairview Ave N Ste 100, Roseville, Minnesota. You can reach out to his office (for appointments etc.) via phone at (651) 241-5290.

Dr Kevin James Mckittrick is licensed to practice in * (Not Available) (license number PY-60967347) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1932759842.

Contact Information

Dr Kevin James Mckittrick, PSYD
2720 Fairview Ave N Ste 100,
Roseville, MN 55113-1306
(651) 241-5290
Not Available



Healthcare Provider's Profile

Full NameDr Kevin James Mckittrick
GenderMale
SpecialityClinical Neuropsychologist
Location2720 Fairview Ave N Ste 100, Roseville, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1932759842
  • Provider Enumeration Date: 09/13/2019
  • Last Update Date: 02/07/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4981036340
  • Enrollment ID: I20210422001087

Medical Identifiers

Medical identifiers for Dr Kevin James Mckittrick such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1932759842NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY.60967347 (Washington)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent PY60967347 (Washington)Secondary
103G00000XClinical Neuropsychologist PY-60967347 (* (Not Available))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. Dr Kevin James Mckittrick allows following entities to bill medicare on his behalf.
Entity NameMinnesota Epilepsy Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932118056
PECOS PAC ID: 6709771363
Enrollment ID: O20040220001025

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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. Dr Kevin James Mckittrick 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
Dr Kevin James Mckittrick, PSYD
2720 Fairview Ave N Ste 100,
Roseville, MN 55113-1306

Ph: (781) 420-6815
Dr Kevin James Mckittrick, PSYD
2720 Fairview Ave N Ste 100,
Roseville, MN 55113-1306

Ph: (651) 241-5290

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