Dr Donald Kieffer, PHD - Medicare Psychologist in Providence, RI

Dr Donald Kieffer, PHD is a medicare enrolled "Psychologist - Clinical" provider in Providence, Rhode Island. He went to Sanford School Of Medicine Of University Of South Dakota and graduated in 1979 and has 45 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Providence Behavioral Health Associates Inc and his current practice location is 593 Eddy St, Apc 970, Providence, Rhode Island. You can reach out to his office (for appointments etc.) via phone at (401) 277-0700.

Dr Donald Kieffer is licensed to practice in Rhode Island (license number PS00503) 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 1053395665.

Contact Information

Dr Donald Kieffer, PHD
593 Eddy St, Apc 970,
Providence, RI 02903-4923
(401) 277-0700
(401) 277-0744

Map and Direction




Healthcare Provider's Profile

Full NameDr Donald Kieffer
GenderMale
SpecialityClinical Psychologist
Experience45 Years
Location593 Eddy St, Providence, Rhode Island
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Donald Kieffer attended and graduated from Sanford School Of Medicine Of University Of South Dakota in 1979
  NPI Data:
  • NPI Number: 1053395665
  • Provider Enumeration Date: 12/06/2005
  • Last Update Date: 10/08/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 8921059304
  • Enrollment ID: I20050202000856

Medical Identifiers

Medical identifiers for Dr Donald Kieffer such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053395665NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical PS00503 (Rhode Island)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Providence Behavioral Health Associates Inc327479823616

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. Dr Donald Kieffer allows following entities to bill medicare on his behalf.
Entity NameProvidence Behavioral Health Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023142700
PECOS PAC ID: 3274798236
Enrollment ID: O20120626000461

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. Dr Donald Kieffer 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 AddressPractice Location Address
Dr Donald Kieffer, PHD
1075 Smith St,
Providence, RI 02908-2700

Ph: (401) 369-9224
Dr Donald Kieffer, PHD
593 Eddy St, Apc 970,
Providence, RI 02903-4923

Ph: (401) 277-0700

Reviews and Comments


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