Kristen Elizabeth Boog, PHD in Maumee, OH - Medicare Psychologist Provider

Kristen Elizabeth Boog, PHD is a medicare enrolled "Psychologist" provider in Maumee, Ohio. Her current practice location is 3521 Briarfield Blvd, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at (419) 794-7259.

Kristen Elizabeth Boog is licensed to practice in Ohio (license number P.08499) 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 1235883000.

Contact Information

	Kristen Elizabeth Boog, PHD
	3521 Briarfield Blvd, Maumee, OH 43537-9387
	(419) 794-7259
	(419) 794-7261

Map and Direction

Healthcare Provider's Profile

Full Name	Kristen Elizabeth Boog
Gender	Female
Speciality	Psychologist
Location	3521 Briarfield Blvd, Maumee, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1235883000
Provider Enumeration Date: 02/09/2022
Last Update Date: 08/22/2023

Medicare PECOS Information:

PECOS PAC ID: 6002260270
Enrollment ID: I20230922000868

Medical Identifiers

Medical identifiers for Kristen Elizabeth Boog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1235883000	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	P.08499 (Ohio)	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. Kristen Elizabeth Boog allows following entities to bill medicare on her behalf.

Entity Name	Northwest Pediatric Specialists, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1033709100 PECOS PAC ID: 6709279276 Enrollment ID: O20220204000359

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. Kristen Elizabeth Boog 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
Kristen Elizabeth Boog, PHD 3251 Brairfield Blvd, Maumee, OH 43537-9387 Ph: (419) 794-7259	Kristen Elizabeth Boog, PHD 3521 Briarfield Blvd, Maumee, OH 43537-9387 Ph: (419) 794-7259

Reviews and Comments

Psychologist in Maumee, OH

Michele M Babb, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1690 Woodland Drive, #200 Clinical Psychologist, Maumee, OH 43537 Phone: 419-897-7950 Fax: 419-897-7984
Mr. James Bruce Kelly, M.ED. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 16c, Maumee, OH 43537 Phone: 419-893-0300
Dr. David Alan Cislo, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 2211 River Rd, Maumee, OH 43537 Phone: 419-897-7877
John K Cooper, LICENSEDPSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3600 Briarfield Blvd, Ste. 3, Maumee, OH 43537 Phone: 419-866-2830 Fax: 419-866-2831
Mr. Kenneth Roger Johnson, M.ED Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5757 Monclova Rd, Suite 16c, Maumee, OH 43537 Phone: 419-893-0300 Fax: 419-891-0356
Dr. Sallyann Treadaway, PH.D. Psychologist Medicare: Accepting Medicare Assignments Practice Location: 135 Chesterfield Ln, Suite 200, Maumee, OH 43537 Phone: 419-578-7273 Fax: 419-531-6148

Kristen Elizabeth Boog, PHD - Medicare Psychologist in Maumee, OH