Kelsey Kathleen Wiggs, PHD in Cincinnati, OH - Medicare Psychologist Provider

Kelsey Kathleen Wiggs, PHD is a medicare enrolled "Psychologist - Clinical" provider in Cincinnati, Ohio. Her current practice location is 3333 Burnet Ave, Cincinnati, Ohio. You can reach out to her office (for appointments etc.) via phone at (712) 577-1072.

Kelsey Kathleen Wiggs is licensed to practice in Indiana (license number 20043846A) 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 1376117291.

Contact Information

	Kelsey Kathleen Wiggs, PHD
	3333 Burnet Ave, Cincinnati, OH 45229-3026
	(712) 577-1072
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kelsey Kathleen Wiggs
Gender	Female
Speciality	Psychologist - Clinical
Location	3333 Burnet Ave, Cincinnati, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1376117291
Provider Enumeration Date: 05/15/2021
Last Update Date: 07/19/2024

Medicare PECOS Information:

PECOS PAC ID: 6305382276
Enrollment ID: I20240726003568

Medical Identifiers

Medical identifiers for Kelsey Kathleen Wiggs such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1376117291	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	20043846A (Indiana)	Primary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary

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. Kelsey Kathleen Wiggs allows following entities to bill medicare on her behalf.

Entity Name	Indiana University Health Care Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1902032832 PECOS PAC ID: 5799755864 Enrollment ID: O20040727000955

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. Kelsey Kathleen Wiggs 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
Kelsey Kathleen Wiggs, PHD 1101 E 10th St, Bloomington, IN 47405-7007 Ph: (712) 577-1072	Kelsey Kathleen Wiggs, PHD 3333 Burnet Ave, Cincinnati, OH 45229-3026 Ph: (712) 577-1072

Reviews and Comments

Psychologist in Cincinnati, OH

Gerald B Powell, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1118 Ryalnd Ave, Cincinnati, OH 45237 Phone: 513-242-3894 Fax: 440-243-6530
Diane Patricia Castelli, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 1101 Summit Rd, Cincinnati, OH 45237 Phone: 513-948-3600
Heather Strong Harrison, PH.D. Psychologist Medicare: Medicare Enrolled Practice Location: 3333 Burnet Ave, Ml3015, Cincinnati, OH 45229 Phone: 513-636-4336 Fax: 513-636-7756
Dr. Donna Marie Maier, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 743 Reynard Ave, Cincinnati, OH 45231 Phone: 513-739-8705 Fax: 937-848-2080
Rachelle Ann Sekerka, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3200 Vine St, 116b, Cincinnati, OH 45220 Phone: 513-475-6402
Dr. Molly W Nemann, EDD LICENSED PSYCHOL Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2480 Walnut View Court, Cincinnati, OH 45230 Phone: 513-233-3998 Fax: 513-233-3998
Dr. James Esmail, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 1101 Summit Rd, Cincinnati, OH 45237 Phone: 513-948-3721

Kelsey Kathleen Wiggs, PHD - Medicare Psychologist in Cincinnati, OH