Katherine Jane Allen, is a medicare enrolled "Counselor - Professional" provider in Canyon Lake, California. Her current practice location is
31630 Railroad Canyon Rd Ste 2, Canyon Lake, California. You can reach out to her office (for appointments etc.) via phone at
(760) 283-6817.
Katherine Jane Allen is licensed to practice in California (license number 17524) 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 1205655065.
Healthcare Provider's Profile
Full Name | Katherine Jane Allen |
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Gender | Female |
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Speciality | Counselor - Professional |
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Location | 31630 Railroad Canyon Rd Ste 2, Canyon Lake, California |
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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: 1205655065
- Provider Enumeration Date: 10/08/2024
- Last Update Date: 10/08/2024
Medicare PECOS Information:
- PECOS PAC ID: 4284166844
- Enrollment ID: I20241021002320
Medical Identifiers
Medical identifiers for Katherine Jane Allen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1205655065 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 17524 (California) | 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. Katherine Jane Allen allows following entities to bill medicare on her behalf.
Entity Name | Fusion Care Group A Psychological Professional Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1275177982 PECOS PAC ID: 8921433590 Enrollment ID: O20200109000932 |
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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. Katherine Jane Allen 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 |
Katherine Jane Allen, 27890 Clinton Keith Rd Ste D122, Murrieta, CA 92562-8571 Ph: () - | Katherine Jane Allen, 31630 Railroad Canyon Rd Ste 2, Canyon Lake, CA 92587-9478 Ph: (760) 283-6817 |
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