Dr Katelyn Taylor Kirk-provencher, PHD in Denver, CO

Dr Katelyn Taylor Kirk-provencher, PHD is a medicare enrolled "Psychologist - Clinical" provider in Denver, Colorado. Her current practice location is 3520 W Oxford Ave, Denver, Colorado. You can reach out to her office (for appointments etc.) via phone at (038) 667-0663.

Dr Katelyn Taylor Kirk-provencher is licensed to practice in Colorado (license number PSY.0006530) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1205653342.

Contact Information

	Dr Katelyn Taylor Kirk-provencher, PHD
	3520 W Oxford Ave, Denver, CO 80236-3108
	(038) 667-0663
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Katelyn Taylor Kirk-provencher
Gender	Female
Speciality	Psychologist - Clinical
Location	3520 W Oxford Ave, Denver, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205653342
Provider Enumeration Date: 09/20/2024
Last Update Date: 06/27/2025

Medicare PECOS Information:

PECOS PAC ID: 2062944812
Enrollment ID: I20241017001713

Medical Identifiers

Medical identifiers for Dr Katelyn Taylor Kirk-provencher such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205653342	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TF0200X	Psychologist - Forensic	PSY.0006530 (Colorado)	Secondary
103TC0700X	Psychologist - Clinical	PSY.0006530 (Colorado)	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 Katelyn Taylor Kirk-provencher allows following entities to bill medicare on her behalf.

Entity Name	Aurora Comprehensive Community Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1134149057 PECOS PAC ID: 9335047778 Enrollment ID: O20031223000263

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 Katelyn Taylor Kirk-provencher 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 Katelyn Taylor Kirk-provencher, PHD 3520 W Oxford Ave, Denver, CO 80236-3108 Ph: (303) 866-7066	Dr Katelyn Taylor Kirk-provencher, PHD 3520 W Oxford Ave, Denver, CO 80236-3108 Ph: (038) 667-0663

Reviews and Comments

Psychologist in Denver, CO

Pamela Elaine Haglund, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 425 S Cherry St, Suite 440, Denver, CO 80246 Phone: 303-756-5464
Dr. Kristen Hick, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1780 S Bellaire St Ste 125, Denver, CO 80222 Phone: 720-644-6698 Fax: 720-644-6698
Mrs. Dwight Duncan, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 895 S Logan St, Denver, CO 80209 Phone: 303-733-3764 Fax: 303-733-0868
Frances M Henderson, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 895 S Monaco Pkwy, Denver, CO 80224 Phone: 303-278-7418
Dr. Sandra Thebaud, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 50 South Steele St, Suite 435, Denver, CO 80206 Phone: 720-378-8080
Anne Biermann, PSYD Psychologist Medicare: Medicare Enrolled Practice Location: 3401 Eudora St, Denver, CO 80207 Phone: 303-300-6192
Dr. Matthew W Mccall, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1777 S Harrison St Ste 1200, Denver, CO 80210 Phone: 720-722-3725

Dr Katelyn Taylor Kirk-provencher, PHD - Medicare Psychologist in Denver, CO