Kyle Tackett, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Huntington, West Virginia. He graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice University Physicians And Surgeons, Inc and his current practice location is
1249 15th St Ste 2000, Huntington, West Virginia. You can reach out to his office (for appointments etc.) via phone at
(304) 691-1000.
Kyle Tackett is licensed to practice in West Virginia (license number 1310) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1659827913.
Healthcare Provider's Profile
| Full Name | Kyle Tackett |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 1249 15th St Ste 2000, Huntington, West Virginia |
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| Accepts Medicare Assignments | Yes. He 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:
- Kyle Tackett graduated from medical school in 2021
NPI Data:
- NPI Number: 1659827913
- Provider Enumeration Date: 08/28/2016
- Last Update Date: 10/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 2365819059
- Enrollment ID: I20221109002763
Medical Identifiers
Medical identifiers for Kyle Tackett such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1659827913 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1310 (West Virginia) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| University Physicians And Surgeons, Inc | 2961315734 | 343 |
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 Tackett allows following entities to bill medicare on his behalf.
| Entity Name | University Physicians & Surgeons, Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1730183286
PECOS PAC ID: 2961315734
Enrollment ID: O20031107000331 |
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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 Tackett 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 Tackett, PSYD
1249 15th St,
Huntington, WV 25701-3662
Ph: (304) 691-1000 | Kyle Tackett, PSYD
1249 15th St Ste 2000,
Huntington, WV 25701-3662
Ph: (304) 691-1000 |
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