Dr Kenneth Ray Young Jr, PSYD, LP in Coon Rapids, MN - Medicare Clinical Psychologist Provider

Dr Kenneth Ray Young Jr, PSYD, LP is a medicare enrolled "Psychologist" provider in Coon Rapids, Minnesota. He graduated from medical school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Allina Health System and his current practice location is 9055 Springbrook Dr Nw, Coon Rapids, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 780-9155.

Dr Kenneth Ray Young Jr is licensed to practice in Minnesota (license number LP5036) 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 1083927917.

Contact Information

	Dr Kenneth Ray Young Jr, PSYD, LP
	9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841
	(763) 780-9155
	(763) 236-1066

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kenneth Ray Young Jr
Gender	Male
Speciality	Clinical Psychologist
Experience	17 Years
Location	9055 Springbrook Dr Nw, Coon Rapids, Minnesota
Accepts Medicare Assignments	Yes. 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 Kenneth Ray Young Jr graduated from medical school in 2007

NPI Data:

NPI Number: 1083927917
Provider Enumeration Date: 07/20/2010
Last Update Date: 12/07/2023

Medicare PECOS Information:

PECOS PAC ID: 3779866934
Enrollment ID: I20170214000140

Medical Identifiers

Medical identifiers for Dr Kenneth Ray Young Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083927917	NPI	-	NPPES
1083927917	Medicaid	MN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP5036 (Minnesota)	Secondary
103TF0200X	Psychologist - Forensic	LP5036 (Minnesota)	Secondary
103T00000X	Psychologist	LP5036 (Minnesota)	Primary
103TC2200X	Psychologist - Clinical Child & Adolescent	LP5036 (Minnesota)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Allina Health System	4587573613	3071

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 Kenneth Ray Young Jr allows following entities to bill medicare on his behalf.

Entity Name	Fairview Health Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013994359 PECOS PAC ID: 1951213057 Enrollment ID: O20031105000461

Entity Name	Fairview Express Care
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548

Entity Name	Sonder Behavioral Health & Wellness Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1780031732 PECOS PAC ID: 4880987114 Enrollment ID: O20160725002280

Entity Name	Allina Health System
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457657249 PECOS PAC ID: 4587573613 Enrollment ID: O20221213001713

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 Kenneth Ray Young Jr 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 Kenneth Ray Young Jr, PSYD, LP 2925 Chicago Ave, Minneapolis, MN 55407-1321 Ph: (612) 262-9000	Dr Kenneth Ray Young Jr, PSYD, LP 9055 Springbrook Dr Nw, Coon Rapids, MN 55433-5841 Ph: (763) 780-9155

Reviews and Comments

Psychologist in Coon Rapids, MN

Abby O'keefe Stanislaw, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9055 Springbrook Dr Nw, Coon Rapids, MN 55433 Phone: 763-780-9155 Fax: 763-236-1066
Mr. Rand Ollen Adams, L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1930 Coon Rapids Blvd Nw, Family Life Mental Health, Coon Rapids, MN 55433 Phone: 763-427-7964 Fax: 763-427-7926
Dr. Ciara Lee Stigen, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 614-584-5109
Steven Morris Smith, PSYD LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1930 Coon Rapids Blvd, Family Life Mental Health Center, Coon Rapids, MN 55433 Phone: 763-427-7964 Fax: 763-427-7976
Jarett Edward Roseberry, PHD., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11850 Blackfoot St Nw Ste 400, Coon Rapids, MN 55433 Phone: 763-236-8911
Catherine Jane Luitjens, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 11660 Round Lake Blvd Nw, Coon Rapids, MN 55433 Phone: 763-767-3350 Fax: 763-767-0912

Dr Kenneth Ray Young Jr, PSYD, LP - Medicare Psychologist in Coon Rapids, MN