John G Kiernan, PSYCH - Medicare Psychologist in Spokane, WA

John G Kiernan, PSYCH is a medicare enrolled "Psychologist - Clinical Child & Adolescent" provider in Spokane, Washington. His current practice location is 322 W North River Dr, Spokane, Washington. You can reach out to his office (for appointments etc.) via phone at (509) 241-2575.

John G Kiernan is licensed to practice in Washington (license number PY00001002) 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 1144374927.

Contact Information

John G Kiernan, PSYCH
322 W North River Dr,
Spokane, WA 99201-3208
(509) 241-2575
(509) 241-2312

Map and Direction




Healthcare Provider's Profile

Full NameJohn G Kiernan
GenderMale
SpecialityPsychologist - Clinical Child & Adolescent
Location322 W North River Dr, Spokane, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1144374927
  • Provider Enumeration Date: 01/22/2007
  • Last Update Date: 07/26/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 7416937156
  • Enrollment ID: I20040722000892

Medical Identifiers

Medical identifiers for John G Kiernan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144374927NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC2200XPsychologist - Clinical Child & Adolescent PY00001002 (Washington)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. John G Kiernan allows following entities to bill medicare on his behalf.
Entity NameKaiser Foundation Health Plan Of Washington
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396810701
PECOS PAC ID: 9032022579
Enrollment ID: O20031112000454

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. John G Kiernan 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
John G Kiernan, PSYCH
Po Box 34584,
Seattle, WA 98124-1584

Ph: (509) 241-7349
John G Kiernan, PSYCH
322 W North River Dr,
Spokane, WA 99201-3208

Ph: (509) 241-2575

Reviews and Comments


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