Kaylene Irizarry, PSYD is a medicare enrolled "Psychologist" provider in Poland, Ohio. She went to Philadelphia College Of Osteopathic Medicine and graduated in 2021 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Advanced Counseling Solutions Llc and her current practice location is
819 Southwestern Run # 2, Poland, Ohio. You can reach out to her office (for appointments etc.) via phone at
(330) 953-1354.
Kaylene Irizarry is licensed to practice in Ohio (license number P.08428) 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 1487120770.
Healthcare Provider's Profile
| Full Name | Kaylene Irizarry |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 819 Southwestern Run # 2, Poland, Ohio |
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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:
- Kaylene Irizarry attended and graduated from Philadelphia College Of Osteopathic Medicine in 2021
NPI Data:
- NPI Number: 1487120770
- Provider Enumeration Date: 10/15/2018
- Last Update Date: 01/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 1658807722
- Enrollment ID: I20241212001527
Medical Identifiers
Medical identifiers for Kaylene Irizarry such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1487120770 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 37AC00371900 (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | C.2103689 (Ohio) | Secondary |
| 103T00000X | Psychologist | P.08428 (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Advanced Counseling Solutions Llc | 2860799459 | 10 |
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. Kaylene Irizarry allows following entities to bill medicare on her behalf.
| Entity Name | Advanced Counseling Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1699098418
PECOS PAC ID: 2860799459
Enrollment ID: O20160325000580 |
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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. Kaylene Irizarry 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 |
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Kaylene Irizarry, PSYD
Po Box 5545,
Poland, OH 44514-0545
Ph: (330) 953-1354 | Kaylene Irizarry, PSYD
819 Southwestern Run # 2,
Poland, OH 44514-3688
Ph: (330) 953-1354 |
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