Dr Kayleigh T Rogalski, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. She graduated from healthcare school in 2022 and has 3 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice University Professional Services and her current practice location is
3303 S Bond Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 494-7246.
Dr Kayleigh T Rogalski is licensed to practice in Oregon (license number 3715) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1295257855.
Healthcare Provider's Profile
| Full Name | Dr Kayleigh T Rogalski |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 3 Years |
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| Location | 3303 S Bond Ave, Portland, Oregon |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Kayleigh T Rogalski graduated from medical school in 2022
NPI Data:
- NPI Number: 1295257855
- Provider Enumeration Date: 07/14/2017
- Last Update Date: 11/07/2023
Medicare PECOS Information:
- PECOS PAC ID: 3072960004
- Enrollment ID: I20231113000783
Medical Identifiers
Medical identifiers for Dr Kayleigh T Rogalski such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1295257855 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TH0004X | Psychologist - Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3715 (Oregon) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| University Professional Services | 4880760107 | 1609 |
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 Kayleigh T Rogalski allows following entities to bill medicare on her behalf.
| Entity Name | University Professional Services |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1376709535
PECOS PAC ID: 4880760107
Enrollment ID: O20080910000013 |
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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 Kayleigh T Rogalski 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 |
|---|
Dr Kayleigh T Rogalski, PSYD
1400 Sw 5th Ave Ste 500,
Portland, OR 97201-5537
Ph: (866) 617-6855 | Dr Kayleigh T Rogalski, PSYD
3303 S Bond Ave,
Portland, OR 97239-4501
Ph: (503) 494-7246 |
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