Dr Michelle Yvonne Kibby-faglier, is a
Clinical Neuropsychologist based in Carbondale, Illinois. Dr Michelle Yvonne Kibby-faglier is licensed to practice in Illinois (license number 071.009508) and her current practice location is
285 Lake Indian Hills Dr, Carbondale, Illinois. She can be reached at her office (for appointments etc.) via phone at
(618) 490-1263.
NPI number for Dr Michelle Yvonne Kibby-faglier is 1477183556 and her current mailing address is 285 Lake Indian Hills Dr, Carbondale, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477183556.
Healthcare Provider's Profile
Full Name | Dr Michelle Yvonne Kibby-faglier |
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Gender | Female |
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Speciality | Clinical Neuropsychologist |
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Location | 285 Lake Indian Hills Dr, Carbondale, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1477183556
- Provider Enumeration Date: 01/17/2020
- Last Update Date: 01/17/2020
Medical Identifiers
Medical identifiers for Dr Michelle Yvonne Kibby-faglier such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477183556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TC2200X | Psychologist - Clinical Child & Adolescent | 071.009508 (Illinois) | Secondary |
103G00000X | Clinical Neuropsychologist | 071.009508 (Illinois) | Primary |
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 Michelle Yvonne Kibby-faglier is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Michelle Yvonne Kibby-faglier, 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 Ph: (618) 490-1263 | Dr Michelle Yvonne Kibby-faglier, 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 Ph: (618) 490-1263 |
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