Kyle Simon, PSYD, LP, LAC is a medicare enrolled "Psychologist - Clinical" provider in Northglenn, Colorado. His current practice location is
11285 Highline Dr, Northglenn, Colorado. You can reach out to his office (for appointments etc.) via phone at
(303) 853-3500.
Kyle Simon is licensed to practice in Colorado (license number PSY.0005396) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1649794165.
Healthcare Provider's Profile
| Full Name | Kyle Simon |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 11285 Highline Dr, Northglenn, Colorado |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1649794165
- Provider Enumeration Date: 07/26/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 9234542473
- Enrollment ID: I20210108000259
Medical Identifiers
Medical identifiers for Kyle Simon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1649794165 | NPI | - | NPPES |
| 9000188678 | Medicaid | CO | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | PSY.0005396 (Colorado) | 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. Kyle Simon allows following entities to bill medicare on his behalf.
| Entity Name | Community Reach Center Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316906886
PECOS PAC ID: 4284526971
Enrollment ID: O20040326001266 |
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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. Kyle Simon 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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Kyle Simon, PSYD, LP, LAC
1870 W 122nd Ave Ste 100,
Westminster, CO 80234-2075
Ph: (303) 853-3500 | Kyle Simon, PSYD, LP, LAC
11285 Highline Dr,
Northglenn, CO 80233-3076
Ph: (303) 853-3500 |
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