Alyssa Ellis Killebrew, PHD in Ridgeland, MS - Medicare Clinical Psychologist Provider

Alyssa Ellis Killebrew, PHD is a medicare enrolled "Psychologist - Clinical" provider in Ridgeland, Mississippi. She graduated from medical school in 2013 and has 13 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Killebrew Psychological Services Llc and her current practice location is 241 Sunnybrook Rd, Ridgeland, Mississippi. You can reach out to her office (for appointments etc.) via phone at (601) 624-5912.

Alyssa Ellis Killebrew is licensed to practice in Mississippi (license number 54946) 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 1306130125.

Contact Information

	Alyssa Ellis Killebrew, PHD
	241 Sunnybrook Rd, Ridgeland, MS 39157-2206
	(601) 624-5912
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa Ellis Killebrew
Gender	Female
Speciality	Clinical Psychologist
Experience	13 Years
Location	241 Sunnybrook Rd, Ridgeland, Mississippi
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Alyssa Ellis Killebrew graduated from medical school in 2013

NPI Data:

NPI Number: 1306130125
Provider Enumeration Date: 06/09/2011
Last Update Date: 12/20/2024

Medicare PECOS Information:

PECOS PAC ID: 1052633294
Enrollment ID: I20141125001874

Medical Identifiers

Medical identifiers for Alyssa Ellis Killebrew such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1306130125	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	54946 (Mississippi)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Killebrew Psychological Services Llc	8426330226	13

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. Alyssa Ellis Killebrew allows following entities to bill medicare on her behalf.

Entity Name	Killebrew Psychological Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073988051 PECOS PAC ID: 8426330226 Enrollment ID: O20170130002648

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. Alyssa Ellis Killebrew 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
Alyssa Ellis Killebrew, PHD 210 W Jackson St, Ridgeland, MS 39157-2312 Ph: (601) 750-6102	Alyssa Ellis Killebrew, PHD 241 Sunnybrook Rd, Ridgeland, MS 39157-2206 Ph: (601) 624-5912

Reviews and Comments

Psychologist in Ridgeland, MS

Dr. Nancy N Horton, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 210 W Jackson St, Ridgeland, MS 39157 Phone: 601-672-3841 Fax: 601-707-7292
Dr. Tonia Taylor, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1828 Lincolnshire Blvd, Ridgeland, MS 39157 Phone: 601-956-8465
Brenda Diane Akporoguafe, LMT Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 W Jackson St, Ridgeland, MS 39157 Phone: 337-600-8623
Taban Salem, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 241 Sunnybrook Rd, Ridgeland, MS 39157 Phone: 769-231-9414
Teresa Elias Hooper, PSY.D.,LTD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 730 Avignon Dr Ste 102, Ridgeland, MS 39157 Phone: 601-856-0582
Jardin Dogan-dixon, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 959 Lake Harbour Dr Apt 1401, Ridgeland, MS 39157 Phone: 803-493-2573

Alyssa Ellis Killebrew, PHD - Medicare Psychologist in Ridgeland, MS