Dr Kenneth Neal, PSYD - Medicare Psychologist in Ooltewah, TN

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Dr Kenneth Neal, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Ooltewah, Tennessee. His current practice location is 8321 Troubadour Way, Ooltewah, Tennessee. You can reach out to his office (for appointments etc.) via phone at (706) 455-5725.

Dr Kenneth Neal is licensed to practice in Tennessee (license number 4010) 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 1053596742.

Contact Information

Dr Kenneth Neal, PSYD
8321 Troubadour Way,
Ooltewah, TN 37363-7026
(706) 455-5725
(706) 632-3585

Map and Direction




Healthcare Provider's Profile

Full NameDr Kenneth Neal
GenderMale
SpecialityPsychologist - Clinical
Location8321 Troubadour Way, Ooltewah, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1053596742
  • Provider Enumeration Date: 01/01/2008
  • Last Update Date: 02/28/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 2567623937
  • Enrollment ID: I20250501002757

Medical Identifiers

Medical identifiers for Dr Kenneth Neal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053596742NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 4010 (Tennessee)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 Kenneth Neal allows following entities to bill medicare on his behalf.
Entity NameIpc Pac Healthcare Services Of Tennessee Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1104277656
PECOS PAC ID: 0840587572
Enrollment ID: O20160928000541
Entity NameNv Pacs 2 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210903001263
Entity NameCs Pacs 3 Southeast Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1154104958
PECOS PAC ID: 8426404302
Enrollment ID: O20231206003761
Entity NameBh Services Southeast 1 Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1164251526
PECOS PAC ID: 7012457054
Enrollment ID: O20241023003002

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 Neal 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 Kenneth Neal, PSYD
8321 Troubadour Way,
Ooltewah, TN 37363-7026

Ph: (706) 455-5725		Dr Kenneth Neal, PSYD
8321 Troubadour Way,
Ooltewah, TN 37363-7026

Ph: (706) 455-5725

Reviews and Comments


Psychologist in Ooltewah, TN

Stephen Clark Rutledge, PH.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 9123 Pleasant Ln, Ooltewah, TN 37363
Phone: 731-377-0088    
Lynn C Petras, PH.D.
Psychologist
Medicare: Accepting Medicare Assignments
Practice Location: 5701 Riley Rd, Ooltewah, TN 37363
Phone: 423-326-1258    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.