Dr Dustin Kieschnick, PSYD in South Lake Tahoe, CA

Dr Dustin Kieschnick, PSYD is a medicare enrolled "Psychologist - Clinical" provider in South Lake Tahoe, California. His current practice location is 497 Tahoe Keys Blvd Apt 35, South Lake Tahoe, California. You can reach out to his office (for appointments etc.) via phone at (910) 467-3217.

Dr Dustin Kieschnick is licensed to practice in California (license number 32828) 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 1154090017.

Contact Information

	Dr Dustin Kieschnick, PSYD
	497 Tahoe Keys Blvd Apt 35, South Lake Tahoe, CA 96150-3841
	(910) 467-3217
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Dustin Kieschnick
Gender	Male
Speciality	Psychologist - Clinical
Location	497 Tahoe Keys Blvd Apt 35, South Lake Tahoe, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154090017
Provider Enumeration Date: 09/13/2021
Last Update Date: 06/09/2026

Medicare PECOS Information:

PECOS PAC ID: 5890160865
Enrollment ID: I20230404001855

Medical Identifiers

Medical identifiers for Dr Dustin Kieschnick such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154090017	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	32828 (California)	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. Dr Dustin Kieschnick allows following entities to bill medicare on his behalf.

Entity Name	University Of California San Francisco
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1861578973 PECOS PAC ID: 4486567229 Enrollment ID: O20031212000897

Entity Name	Ucsf Medical Group Business Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477624104 PECOS PAC ID: 3779497870 Enrollment ID: O20040622001513

Entity Name	Ucsf Psychiatry
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427105279 PECOS PAC ID: 4981680832 Enrollment ID: O20040629001513

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 Dustin Kieschnick 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
Dr Dustin Kieschnick, PSYD 497 Tahoe Keys Blvd Apt 35, South Lake Tahoe, CA 96150-3841 Ph: (910) 467-3217	Dr Dustin Kieschnick, PSYD 497 Tahoe Keys Blvd Apt 35, South Lake Tahoe, CA 96150-3841 Ph: (910) 467-3217

Reviews and Comments

Psychologist in South Lake Tahoe, CA

Dr. Julie Anne Garrison, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1021 Fremont Ave., Tahoe Youth And Family Services, South Lake Tahoe, CA 96150 Phone: 775-544-3359
Casey Donahue, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1709 Remington Trl, South Lake Tahoe, CA 96150 Phone: 530-543-2327
Dr. Sandra L Branton, EDD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 870 Emerald Bay Rd, Suite 305, South Lake Tahoe, CA 96150 Phone: 530-541-5977 Fax: 530-577-4686
Sherese Chretien, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1900 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-573-7909
Dr. Catherine Lawlor, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 497 Tahoe Keys Blvd Apt 35, South Lake Tahoe, CA 96150 Phone: 574-261-5410
Sarah Caro, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2940 Lake Tahoe Blvd, South Lake Tahoe, CA 96150 Phone: 530-541-6404

Dr Dustin Kieschnick, PSYD - Medicare Psychologist in South Lake Tahoe, CA