Kirstie Nicole Pysher, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Bloomsburg, Pennsylvania. Her current practice location is
308 E 2nd St, Bloomsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(570) 961-3361.
Kirstie Nicole Pysher is licensed to practice in Pennsylvania (license number PS020379) 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 1710423686.
Healthcare Provider's Profile
| Full Name | Kirstie Nicole Pysher |
|---|
| Gender | Female |
|---|
| Speciality | Psychologist - Clinical |
|---|
| Location | 308 E 2nd St, Bloomsburg, Pennsylvania |
|---|
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
|---|
NPI Data:
- NPI Number: 1710423686
- Provider Enumeration Date: 01/16/2017
- Last Update Date: 04/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 6608392600
- Enrollment ID: I20250501002669
Medical Identifiers
Medical identifiers for Kirstie Nicole Pysher such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710423686 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PS020379 (Pennsylvania) | 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. Kirstie Nicole Pysher allows following entities to bill medicare on her behalf.
| Entity Name | John G Kuna Psy D & Associates Llc |
|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
|---|
| Entity Identifiers | NPI Number: 1487936654
PECOS PAC ID: 5890950281
Enrollment ID: O20120710000654 |
|---|
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. Kirstie Nicole Pysher 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 |
|---|
Kirstie Nicole Pysher, PSYD
902 Mcnett Rd,
Montgomery, PA 17752-9430
Ph: (570) 419-2893 | Kirstie Nicole Pysher, PSYD
308 E 2nd St,
Bloomsburg, PA 17815-1869
Ph: (570) 961-3361 |
Reviews and Comments