Dr Matthew Kingsbury, PSYD, LP in Maple Grove, MN - Medicare Clinical Psychologist Provider

Dr Matthew Kingsbury, PSYD, LP is a medicare enrolled "Psychologist" provider in Maple Grove, Minnesota. He graduated from medical school in 2019 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Parker Collins Family Mental Health Pllc and his current practice location is 11316 86th Ave N, Maple Grove, Minnesota. You can reach out to his office (for appointments etc.) via phone at (763) 400-8000.

Dr Matthew Kingsbury is licensed to practice in Minnesota (license number LP6684) 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 1104224120.

Contact Information

	Dr Matthew Kingsbury, PSYD, LP
	11316 86th Ave N, Maple Grove, MN 55369-4528
	(763) 400-8000
	(763) 400-8000

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Matthew Kingsbury
Gender	Male
Speciality	Clinical Psychologist
Experience	5 Years
Location	11316 86th Ave N, Maple Grove, Minnesota
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 Matthew Kingsbury graduated from medical school in 2019

NPI Data:

NPI Number: 1104224120
Provider Enumeration Date: 12/08/2014
Last Update Date: 07/12/2022

Medicare PECOS Information:

PECOS PAC ID: 2062894884
Enrollment ID: I20220726003250

Medical Identifiers

Medical identifiers for Dr Matthew Kingsbury such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104224120	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	LP6684 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Parker Collins Family Mental Health Pllc	8325338031	5

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 Matthew Kingsbury allows following entities to bill medicare on his behalf.

Entity Name	Parker Collins Family Mental Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487927067 PECOS PAC ID: 8325338031 Enrollment ID: O20160609000216

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 Matthew Kingsbury 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 Matthew Kingsbury, PSYD, LP 11316 86th Ave N, Maple Grove, MN 55369-4528 Ph: (763) 400-8000	Dr Matthew Kingsbury, PSYD, LP 11316 86th Ave N, Maple Grove, MN 55369-4528 Ph: (763) 400-8000

Reviews and Comments

Psychologist in Maple Grove, MN

Michelle K. Pemble-frazey, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 9555 Upland Ln N, Maple Grove, MN 55369 Phone: 952-993-1440
Sally Rose Brinza, PHD LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7225 Forestview Ln N, Maple Grove, MN 55369 Phone: 612-978-5058 Fax: 763-201-1095
Dr. Michaela Monetti, PH.D., LP Psychologist Medicare: Accepting Medicare Assignments Practice Location: 14500 99th Ave N, Maple Grove, MN 55369 Phone: 763-898-1000
Dr. Jennifer G Enstad, PSY.D., L.P. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 7372 Kirkwood Ct, Maple Grove, MN 55369 Phone: 763-416-4167 Fax: 763-416-4137
Dr. Rochelle Elizabeth Mccourtney Gredvig, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120
Dr. Elizabeth Anne Heidenreich, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 13603 80th Cir N, Maple Grove, MN 55369 Phone: 763-274-3120 Fax: 763-274-3121

Dr Matthew Kingsbury, PSYD, LP - Medicare Psychologist in Maple Grove, MN