Brandon Bumbalough, in Hazard, KY - Medicare Psychologist Provider

Brandon Bumbalough, is a medicare enrolled "Psychologist - Clinical" provider in Hazard, Kentucky. His current practice location is 115 Rockwood Ln, Hazard, Kentucky. You can reach out to his office (for appointments etc.) via phone at (606) 436-5761.

Brandon Bumbalough is licensed to practice in Kentucky (license number 168689) 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 1497200562.

Contact Information

	Brandon Bumbalough,
	115 Rockwood Ln, Hazard, KY 41701-9415
	(606) 436-5761
	(606) 436-5797

Map and Direction

Healthcare Provider's Profile

Full Name	Brandon Bumbalough
Gender	Male
Speciality	Psychologist - Clinical
Location	115 Rockwood Ln, Hazard, Kentucky
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1497200562
Provider Enumeration Date: 08/18/2016
Last Update Date: 08/18/2016

Medicare PECOS Information:

PECOS PAC ID: 7719321843
Enrollment ID: I20240216002645

Medical Identifiers

Medical identifiers for Brandon Bumbalough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1497200562	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	168689 (Kentucky)	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. Brandon Bumbalough allows following entities to bill medicare on his behalf.

Entity Name	Meridian Behavioral Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427569219 PECOS PAC ID: 6709149321 Enrollment ID: O20180413000237

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. Brandon Bumbalough 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
Brandon Bumbalough, 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (606) 436-5761	Brandon Bumbalough, 115 Rockwood Ln, Hazard, KY 41701-9415 Ph: (606) 436-5761

Reviews and Comments

Psychologist in Hazard, KY

Kasey Wright, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797
Dr. Amy Goodson, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 210 Black Gold Blvd, Arh Bariatric Services, Suite 102, Hazard, KY 41701 Phone: 606-439-1331 Fax: 606-439-6629
Ryan J Mcpeak, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797
Tarah Johnson, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797
Jamie M Turner, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797
Shelly Taylor, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797
Christopher Kidder, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 115 Rockwood Ln, Hazard, KY 41701 Phone: 606-436-5761 Fax: 606-436-5797

Brandon Bumbalough, - Medicare Psychologist in Hazard, KY