Katelin Double, MA is a medicare enrolled "Psychologist" provider in Los Angeles, California. She graduated from healthcare school in 2018 and has 6 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice The Pisgah Institute For Psychotherapy And Education Pa and her current practice location is
311 Winston St, Los Angeles, California. You can reach out to her office (for appointments etc.) via phone at
(213) 893-1960.
Katelin Double is licensed to practice in North Carolina (license number 103311) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1124479860.
Healthcare Provider's Profile
| Full Name | Katelin Double |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 6 Years |
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| Location | 311 Winston St, Los Angeles, California |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Katelin Double graduated from medical school in 2018
NPI Data:
- NPI Number: 1124479860
- Provider Enumeration Date: 06/23/2016
- Last Update Date: 07/02/2019
Medicare PECOS Information:
- PECOS PAC ID: 5395072797
- Enrollment ID: I20190807003637
Medical Identifiers
Medical identifiers for Katelin Double such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1124479860 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | 94022057 (California) | Secondary |
| 103T00000X | Psychologist | 103311 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| The Pisgah Institute For Psychotherapy And Education Pa | 5294622809 | 15 |
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. Katelin Double allows following entities to bill medicare on her behalf.
| Entity Name | The Pisgah Institute For Psychotherapy & Education Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1871507038
PECOS PAC ID: 5294622809
Enrollment ID: O20040228000512 |
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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. Katelin Double 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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Katelin Double, MA
158 Zillicoa St,
Asheville, NC 28801-1079
Ph: (828) 254-9494 | Katelin Double, MA
311 Winston St,
Los Angeles, CA 90013-1519
Ph: (213) 893-1960 |
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