Dr Kevin V Connolly, PHD - Medicare Psychologist in Renton, WA

Dr Kevin V Connolly, PHD is a medicare enrolled "Psychologist" provider in Renton, Washington. His current practice location is 600 Oakesdale Ave Sw, Ste 104, Renton, Washington. You can reach out to his office (for appointments etc.) via phone at (425) 228-5336.

Dr Kevin V Connolly is licensed to practice in Washington (license number PY00001058) 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 1407838758.

Contact Information

Dr Kevin V Connolly, PHD
600 Oakesdale Ave Sw, Ste 104,
Renton, WA 98057-5226
(425) 228-5336
(425) 228-4540

Map and Direction




Healthcare Provider's Profile

Full NameDr Kevin V Connolly
GenderMale
SpecialityPsychologist
Location600 Oakesdale Ave Sw, Renton, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1407838758
  • Provider Enumeration Date: 11/14/2005
  • Last Update Date: 12/15/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 6103967732
  • Enrollment ID: I20100105000397

Medical Identifiers

Medical identifiers for Dr Kevin V Connolly such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1407838758NPI-NPPES
000106440MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103T00000XPsychologist PY00001058 (Washington)Primary

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 V Connolly 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 Kevin V Connolly, PHD
600 Oakesdale Ave Sw, Ste 104,
Renton, WA 98057-5226

Ph: (425) 228-5336
Dr Kevin V Connolly, PHD
600 Oakesdale Ave Sw, Ste 104,
Renton, WA 98057-5226

Ph: (425) 228-5336

Reviews and Comments


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