Dr Kimberly Marie Maynard, PSYD in Springfield, MA

Dr Kimberly Marie Maynard, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Springfield, Massachusetts. Her current practice location is 155 Maple St, Suite 203, Springfield, Massachusetts. You can reach out to her office (for appointments etc.) via phone at (413) 734-3331.

Dr Kimberly Marie Maynard is licensed to practice in Massachusetts (license number 9904) 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 1942459581.

Contact Information

	Dr Kimberly Marie Maynard, PSYD
	155 Maple St, Suite 203, Springfield, MA 01105-2649
	(413) 734-3331
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kimberly Marie Maynard
Gender	Female
Speciality	Psychologist - Clinical
Location	155 Maple St, Springfield, Massachusetts
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1942459581
Provider Enumeration Date: 09/18/2008
Last Update Date: 11/15/2022

Medicare PECOS Information:

PECOS PAC ID: 9931326220
Enrollment ID: I20140811000440

Medical Identifiers

Medical identifiers for Dr Kimberly Marie Maynard such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1942459581	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TH0100X	Psychologist - Health Service	9904 (Massachusetts)	Secondary
103TC0700X	Psychologist - Clinical	9904 (Massachusetts)	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 Kimberly Marie Maynard allows following entities to bill medicare on her behalf.

Entity Name	Connecticut Children's Specialty Group, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1669448882 PECOS PAC ID: 6002720117 Enrollment ID: O20200323000700

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 Kimberly Marie Maynard 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 Kimberly Marie Maynard, PSYD 155 Maple St, Suite 203, Springfield, MA 01105-2649 Ph: (413) 734-3331	Dr Kimberly Marie Maynard, PSYD 155 Maple St, Suite 203, Springfield, MA 01105-2649 Ph: (413) 734-3331

Reviews and Comments

Psychologist in Springfield, MA

Brittany Zelgowski, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 80 State St, Springfield, MA 01103 Phone: 413-748-7698 Fax: 413-827-8231
Mr. Young K Kim, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 155 Maple St, Ste 301, Springfield, MA 01105 Phone: 413-736-5393 Fax: 413-736-5100
Dr. Steven A Winn, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-732-7419
Dr. Alisa Beaver, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 155 Maple St, Suite 207, Springfield, MA 01105 Phone: 413-285-8722 Fax: 413-285-8722
Stephanie Vazquez-gonzalez, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 110 Maple St, Springfield, MA 01105 Phone: 413-747-0705
Dr. Paige Getchell, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 263 Alden St, Springfield, MA 01109 Phone: 413-748-3345
Mrs. Ellen Elizabeth Haynes Johnson, M.S. Psychologist Medicare: Medicare Enrolled Practice Location: 3300 Main Street, 4a, Springfield, MA 01107 Phone: 413-794-7035

Dr Kimberly Marie Maynard, PSYD - Medicare Psychologist in Springfield, MA