Matthew Kivel, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Portland, Oregon. His current practice location is
707 Sw Gaines St, Portland, Oregon. You can reach out to his office (for appointments etc.) via phone at
(800) 452-3563.
Matthew Kivel is licensed to practice in Oregon (license number 3393) 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 1316392574.
Healthcare Provider's Profile
| Full Name | Matthew Kivel |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 707 Sw Gaines St, Portland, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316392574
- Provider Enumeration Date: 04/25/2016
- Last Update Date: 10/01/2021
Medicare PECOS Information:
- PECOS PAC ID: 9830597418
- Enrollment ID: I20211012002624
Medical Identifiers
Medical identifiers for Matthew Kivel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1316392574 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3393 (Oregon) | 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. Matthew Kivel allows following entities to bill medicare on his 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. Matthew Kivel 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 |
Matthew Kivel, PSYD 707 Sw Gaines St, Portland, OR 97239-2901 Ph: (800) 452-3563 | Matthew Kivel, PSYD 707 Sw Gaines St, Portland, OR 97239-2901 Ph: (800) 452-3563 |
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