David C Klein, PHD is a medicare enrolled "Psychologist - Clinical" provider in Mansfield, Connecticut. He went to Perelman School Of Med At The University Of Pennsylvania and graduated in 1975 and has 51 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice The William W Backus Hospital and his current practice location is
207 Storrs Rd, Mansfield, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 456-4604.
David C Klein is licensed to practice in Connecticut (license number 000695) 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 1952400582.
Healthcare Provider's Profile
| Full Name | David C Klein |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 51 Years |
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| Location | 207 Storrs Rd, Mansfield, Connecticut |
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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:
- David C Klein attended and graduated from Perelman School Of Med At The University Of Pennsylvania in 1975
NPI Data:
- NPI Number: 1952400582
- Provider Enumeration Date: 09/21/2006
- Last Update Date: 07/08/2007
Medicare PECOS Information:
- PECOS PAC ID: 0244339703
- Enrollment ID: I20161208000814
Medical Identifiers
Medical identifiers for David C Klein such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1952400582 | NPI | - | NPPES |
| 170765 | Other | CT | MHN |
| 107958 | Other | | VALUE OPTIONS |
| 5155543 | Other | | AETNA |
| P2751860 | Other | | OXFORD |
| C007612 | Other | | TRICARE |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 000695 (Connecticut) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| The William W Backus Hospital | 0749170645 | 248 |
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. David C Klein allows following entities to bill medicare on his behalf.
| Entity Name | Windham Community Memorial Hospital Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023191467
PECOS PAC ID: 2961309059
Enrollment ID: O20031217000231 |
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| Entity Name | The William W Backus Hospital |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1467517235
PECOS PAC ID: 0749170645
Enrollment ID: O20040316000739 |
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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. David C Klein 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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David C Klein, PHD
Po Box 174,
Mansfield, CT 06250-0174
Ph: (860) 456-4604 | David C Klein, PHD
207 Storrs Rd,
Mansfield, CT 06250-0174
Ph: (860) 456-4604 |
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