Caitlin Nicole Courshon, PHD is a medicare enrolled "Psychologist" provider in Seattle, Washington. Her current practice location is
6901 Sand Point Way Ne # Ms -221, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 987-2164.
Caitlin Nicole Courshon is licensed to practice in Washington (license number PY61491221) 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 1043098908.
Healthcare Provider's Profile
Full Name | Caitlin Nicole Courshon |
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Gender | Female |
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Speciality | Psychologist |
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Location | 6901 Sand Point Way Ne # Ms -221, Seattle, Washington |
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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: 1043098908
- Provider Enumeration Date: 09/20/2023
- Last Update Date: 07/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 3476099896
- Enrollment ID: I20240722003419
Medical Identifiers
Medical identifiers for Caitlin Nicole Courshon such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1043098908 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103T00000X | Psychologist | PY61491221 (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. Caitlin Nicole Courshon allows following entities to bill medicare on her behalf.
Entity Name | The Association Of Chrmc And University Physicians |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255449963 PECOS PAC ID: 9133032964 Enrollment ID: O20031107000585 |
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Entity Name | Seattle Childrens Hospital |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1003319500 PECOS PAC ID: 9032021050 Enrollment ID: O20031211000532 |
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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. Caitlin Nicole Courshon 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 |
Caitlin Nicole Courshon, PHD 6901 Sand Point Way Ne # Ms -221, Seattle, WA 98115-7869 Ph: (206) 987-2164 | Caitlin Nicole Courshon, PHD 6901 Sand Point Way Ne # Ms -221, Seattle, WA 98115-7869 Ph: (206) 987-2164 |
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