Dr Lynette Mckeon, PSYD is a medicare enrolled "Clinical Neuropsychologist" provider in Summit, New Jersey. Her current practice location is
1 Springfield Ave Ste 2c, Summit, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(908) 393-1533.
Dr Lynette Mckeon is licensed to practice in New Jersey (license number 4059) 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 1477695674.
Healthcare Provider's Profile
| Full Name | Dr Lynette Mckeon |
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| Gender | Female |
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| Speciality | Clinical Neuropsychologist |
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| Location | 1 Springfield Ave Ste 2c, Summit, New Jersey |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1477695674
- Provider Enumeration Date: 02/13/2007
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1456457860
- Enrollment ID: I20070501000648
Medical Identifiers
Medical identifiers for Dr Lynette Mckeon such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1477695674 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 103T00000X | Psychologist | 4059 (New Jersey) | Secondary |
| 103TC0700X | Psychologist - Clinical | 4059 (New Jersey) | Secondary |
| 103G00000X | Clinical Neuropsychologist | 4059 (New Jersey) | 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 Lynette Mckeon allows following entities to bill medicare on her behalf.
| Entity Name | Lynette Mckeon, Psy.d., Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710104864 PECOS PAC ID: 2466559943 Enrollment ID: O20070517000258 |
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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 Lynette Mckeon 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 Lynette Mckeon, PSYD 1 Springfield Ave Ste 2c, Summit, NJ 07901-4055 Ph: (908) 393-1533 | Dr Lynette Mckeon, PSYD 1 Springfield Ave Ste 2c, Summit, NJ 07901-4055 Ph: (908) 393-1533 |
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