Dr Jeffrey Scott Kinderdietz, PHD in Pineville, LA

Dr Jeffrey Scott Kinderdietz, PHD is a medicare enrolled "Psychologist - Clinical" provider in Pineville, Louisiana. His current practice location is 2495 Shreveport Hwy, Pineville, Louisiana. You can reach out to his office (for appointments etc.) via phone at (318) 466-2455.

Dr Jeffrey Scott Kinderdietz is licensed to practice in Iowa (license number 083337) 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 1730518614.

Contact Information

	Dr Jeffrey Scott Kinderdietz, PHD
	2495 Shreveport Hwy, Pineville, LA 71360-4044
	(318) 466-2455
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Jeffrey Scott Kinderdietz
Gender	Male
Speciality	Psychologist - Clinical
Location	2495 Shreveport Hwy, Pineville, Louisiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1730518614
Provider Enumeration Date: 11/01/2013
Last Update Date: 09/11/2023

Medicare PECOS Information:

PECOS PAC ID: 5597096123
Enrollment ID: I20200717001974

Medical Identifiers

Medical identifiers for Dr Jeffrey Scott Kinderdietz such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1730518614	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	083337 (Iowa)	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 Jeffrey Scott Kinderdietz allows following entities to bill medicare on his behalf.

Entity Name	Psychology Iowa Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245889104 PECOS PAC ID: 4688905219 Enrollment ID: O20191014001634

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 Jeffrey Scott Kinderdietz 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 Jeffrey Scott Kinderdietz, PHD 2495 Shreveport Hwy, Pineville, LA 71360-4044 Ph: (318) 466-2455	Dr Jeffrey Scott Kinderdietz, PHD 2495 Shreveport Hwy, Pineville, LA 71360-4044 Ph: (318) 466-2455

Reviews and Comments

Psychologist in Pineville, LA

Mercedes Gremillion, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-446-4610
Dr. Roderick E. Adams, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2631 Donahue Ferry Rd, Pineville, LA 71360 Phone: 318-641-0800 Fax: 318-641-0866
Danielle Paul, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 122 Hillsdale Dr, Pineville, LA 71360 Phone: 954-210-6070 Fax: 888-900-2325
Dr. Heather Elise Sterling, PH. D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2217 Shreveport Hwy Ste B, Pineville, LA 71360 Phone: 225-221-9216
Dr. Joseph Anthony Lamanna, D.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy, Pineville, LA 71360 Phone: 318-466-4185
Dr. Fay Carol Thrasher, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2495 Shreveport Hwy 71n, Pineville, LA 71360 Phone: 318-473-0010
Dr. Adam Michael Lewis, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: Alexandria Va Health Care System, 2495 Shreveport Hwy, Psychology Service (116b), Pineville, LA 71360 Phone: 318-466-4185

Dr Jeffrey Scott Kinderdietz, PHD - Medicare Psychologist in Pineville, LA