Dr Katelyn James, PSYD is a medicare enrolled "Psychologist" provider in Louisville, Kentucky. Her current practice location is
1405 E Burnett Ave, Louisville, Kentucky. You can reach out to her office (for appointments etc.) via phone at
(502) 588-0736.
Dr Katelyn James is licensed to practice in Kentucky (license number 276187) 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 1578988184.
Healthcare Provider's Profile
| Full Name | Dr Katelyn James |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 1405 E Burnett Ave, Louisville, Kentucky |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578988184
- Provider Enumeration Date: 02/19/2014
- Last Update Date: 09/27/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557738630
- Enrollment ID: I20221102000803
Medical Identifiers
Medical identifiers for Dr Katelyn James such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578988184 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 272408 (Kentucky) | Secondary |
| 103T00000X | Psychologist | 276187 (Kentucky) | 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. Dr Katelyn James allows following entities to bill medicare on her behalf.
| Entity Name | Norton Childrens Medical Group Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457999096
PECOS PAC ID: 3779917596
Enrollment ID: O20200102000758 |
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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. Dr Katelyn James 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 Katelyn James, PSYD
Po Box 776879,
Chicago, IL 60677-6879
Ph: () - | Dr Katelyn James, PSYD
1405 E Burnett Ave,
Louisville, KY 40217-1577
Ph: (502) 588-0736 |
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