Dr Kevin Kukoleck, PSYD - Medicare Psychologist in Medina, OH

Dr Kevin Kukoleck, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Medina, Ohio. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Psychology Consultants Inc and his current practice location is 3591 Reserve Commons Dr Ste 301, Medina, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 764-7916.

Dr Kevin Kukoleck is licensed to practice in Ohio (license number 08214) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1295821171.

Contact Information

Dr Kevin Kukoleck, PSYD
3591 Reserve Commons Dr Ste 301,
Medina, OH 44256-5334
(330) 764-7916
Not Available



Healthcare Provider's Profile

Full NameDr Kevin Kukoleck
GenderMale
SpecialityClinical Psychologist
Experience26 Years
Location3591 Reserve Commons Dr Ste 301, Medina, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Kevin Kukoleck graduated from medical school in 1998
  NPI Data:
  • NPI Number: 1295821171
  • Provider Enumeration Date: 10/05/2006
  • Last Update Date: 09/23/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 2466466768
  • Enrollment ID: I20211019002193

Medical Identifiers

Medical identifiers for Dr Kevin Kukoleck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1295821171NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 71006575 (Illinois)Secondary
103TC0700XPsychologist - Clinical 29905 (California)Secondary
103TC0700XPsychologist - Clinical 08214 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Psychology Consultants Inc216331047515

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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 Kukoleck allows following entities to bill medicare on his behalf.
Entity NamePsychology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205882941
PECOS PAC ID: 2163310475
Enrollment ID: O20040309000096

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Entity NameGrow Healthcare Group Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000326

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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 Kukoleck 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 Kukoleck, PSYD
4210 Maplecrest Ave,
Parma, OH 44134-3524

Ph: (773) 573-5393
Dr Kevin Kukoleck, PSYD
3591 Reserve Commons Dr Ste 301,
Medina, OH 44256-5334

Ph: (330) 764-7916

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Psychologist in Medina, OH

Dr. Nancy P. Taylor, PH.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256
Phone: 330-764-7916    
Megan Schaecher-pecek, PSYD
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256
Phone: 330-764-7916    Fax: 330-723-6399
Seth T Krieger, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256
Phone: 330-764-7916    Fax: 330-723-6933
Stacey Ilko - Hancock, PSY.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 221 W Liberty St, Medina, OH 44256
Phone: 330-722-4166    Fax: 330-725-5792
Dr. Peter Arian, PSY.D.
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 208 S. Court St., Medina, OH 44256
Phone: 330-723-7977    
Amy Thatcher-benza, PH.D
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 4018 Medina Rd Ste D, Medina, OH 44256
Phone: 330-722-4166    Fax: 330-725-5792
Dr. Sarah Toman, PSYCHOLOGIST
Psychologist
Medicare: Not Enrolled in Medicare
Practice Location: 6636 River Styx Rd, Medina, OH 44256
Phone: 330-723-4293    Fax: 330-764-3485

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