Dr Kevin Kukoleck, PSYD in Medina, OH - Medicare Clinical Psychologist Provider

Dr Kevin Kukoleck, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Medina, Ohio. He graduated from medical school in 1998 and has 26 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Psychology Consultants Inc and his current practice location is 3591 Reserve Commons Dr Ste 301, Medina, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 764-7916.

Dr Kevin Kukoleck is licensed to practice in Ohio (license number 08214) 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 1295821171.

Contact Information

	Dr Kevin Kukoleck, PSYD
	3591 Reserve Commons Dr Ste 301, Medina, OH 44256-5334
	(330) 764-7916
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kevin Kukoleck
Gender	Male
Speciality	Clinical Psychologist
Experience	26 Years
Location	3591 Reserve Commons Dr Ste 301, Medina, Ohio
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 Kevin Kukoleck graduated from medical school in 1998

NPI Data:

NPI Number: 1295821171
Provider Enumeration Date: 10/05/2006
Last Update Date: 09/23/2021

Medicare PECOS Information:

PECOS PAC ID: 2466466768
Enrollment ID: I20211019002193

Medical Identifiers

Medical identifiers for Dr Kevin Kukoleck such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1295821171	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	71006575 (Illinois)	Secondary
103TC0700X	Psychologist - Clinical	29905 (California)	Secondary
103TC0700X	Psychologist - Clinical	08214 (Ohio)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Psychology Consultants Inc	2163310475	15

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 Kevin Kukoleck allows following entities to bill medicare on his behalf.

Entity Name	Psychology Consultants Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205882941 PECOS PAC ID: 2163310475 Enrollment ID: O20040309000096

Entity Name	Grow Healthcare Group Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220604000326

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 Kevin Kukoleck 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 Kevin Kukoleck, PSYD 4210 Maplecrest Ave, Parma, OH 44134-3524 Ph: (773) 573-5393	Dr Kevin Kukoleck, PSYD 3591 Reserve Commons Dr Ste 301, Medina, OH 44256-5334 Ph: (330) 764-7916

Reviews and Comments

Psychologist in Medina, OH

Dr. Nancy P. Taylor, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256 Phone: 330-764-7916
Megan Schaecher-pecek, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256 Phone: 330-764-7916 Fax: 330-723-6399
Seth T Krieger, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3591 Reserve Commons Dr, Suite 301, Medina, OH 44256 Phone: 330-764-7916 Fax: 330-723-6933
Stacey Ilko - Hancock, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 221 W Liberty St, Medina, OH 44256 Phone: 330-722-4166 Fax: 330-725-5792
Dr. Peter Arian, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 208 S. Court St., Medina, OH 44256 Phone: 330-723-7977
Amy Thatcher-benza, PH.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 4018 Medina Rd Ste D, Medina, OH 44256 Phone: 330-722-4166 Fax: 330-725-5792
Dr. Sarah Toman, PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6636 River Styx Rd, Medina, OH 44256 Phone: 330-723-4293 Fax: 330-764-3485

Dr Kevin Kukoleck, PSYD - Medicare Psychologist in Medina, OH