Kylee J Roller, PHD - Medicare Psychologist in Buxton, ND

Kylee J Roller, PHD is a medicare enrolled "Psychologist" provider in Buxton, North Dakota. Her current practice location is 16771 15th St Ne, Buxton, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 792-6488.

Kylee J Roller is licensed to practice in * (Not Available) (license number ) 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 1750415873.

Contact Information

Kylee J Roller, PHD
16771 15th St Ne,
Buxton, ND 58218-9239
(701) 792-6488
(701) 335-7100



Healthcare Provider's Profile

Full NameKylee J Roller
GenderFemale
SpecialityPsychologist
Location16771 15th St Ne, Buxton, North Dakota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1750415873
  • Provider Enumeration Date: 03/14/2007
  • Last Update Date: 01/15/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3779888292
  • Enrollment ID: I20160222001488

Medical Identifiers

Medical identifiers for Kylee J Roller such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1750415873NPI-NPPES
054519MedicaidND

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist (* (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. Kylee J Roller allows following entities to bill medicare on her behalf.
Entity NameLipp Carlson Witucki & Associates Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043316961
PECOS PAC ID: 2062408701
Enrollment ID: O20040420001654

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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. Kylee J Roller 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
Kylee J Roller, PHD
16771 15th St Ne,
Buxton, ND 58218-9239

Ph: (701) 792-6488
Kylee J Roller, PHD
16771 15th St Ne,
Buxton, ND 58218-9239

Ph: (701) 792-6488

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Psychologist in Buxton, ND


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