Edd Douglas Easton-hogg, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Beattyville, Kentucky. His current practice location is
246 E Main St, Beattyville, Kentucky. You can reach out to his office (for appointments etc.) via phone at
(606) 464-3611.
Edd Douglas Easton-hogg is licensed to practice in Kentucky (license number 130240) 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 1376877498.
Healthcare Provider's Profile
| Full Name | Edd Douglas Easton-hogg |
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| Gender | Male |
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| Speciality | Psychologist - Clinical |
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| Location | 246 E Main St, Beattyville, 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: 1376877498
- Provider Enumeration Date: 09/22/2009
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 3870895535
- Enrollment ID: I20160112002371
Medical Identifiers
Medical identifiers for Edd Douglas Easton-hogg such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1376877498 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 130240 (Kentucky) | Secondary |
| 103TC0700X | Psychologist - Clinical | 130240 (Kentucky) | Primary |
| 103TC0700X | Psychologist - Clinical | KY-1778 (Kentucky) | 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. Edd Douglas Easton-hogg allows following entities to bill medicare on his behalf.
| Entity Name | Western Ky Regional Mhmr Board Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1841216934
PECOS PAC ID: 0446154587
Enrollment ID: O20031121000001 |
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| Entity Name | Psychological & Behavioral Consultants Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811915713
PECOS PAC ID: 0446243760
Enrollment ID: O20160926002081 |
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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. Edd Douglas Easton-hogg 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 |
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Edd Douglas Easton-hogg, PSYD
210 N Broadway St Ste 5,
Berea, KY 40403-2212
Ph: (859) 779-0616 | Edd Douglas Easton-hogg, PSYD
246 E Main St,
Beattyville, KY 41311-9369
Ph: (606) 464-3611 |
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