Kathryn Macleod Heitzhausen, PSYD is a medicare enrolled "Psychologist" provider in Portland, Oregon. Her current practice location is
12570 Sw 69th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 427-2394.
Kathryn Macleod Heitzhausen is licensed to practice in Oregon (license number 3363) 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 1558716902.
Healthcare Provider's Profile
Full Name | Kathryn Macleod Heitzhausen |
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Gender | Female |
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Speciality | Psychologist |
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Location | 12570 Sw 69th Ave, Portland, Oregon |
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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: 1558716902
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507234267
- Enrollment ID: I20221130002121
Medical Identifiers
Medical identifiers for Kathryn Macleod Heitzhausen such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1558716902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
103TC0700X | Psychologist - Clinical | 3363 (Oregon) | Secondary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
103T00000X | Psychologist | 3363 (Oregon) | 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. Kathryn Macleod Heitzhausen allows following entities to bill medicare on her behalf.
Entity Name | Western Psychological And Counseling Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912008178 PECOS PAC ID: 7719975085 Enrollment ID: O20040505000049 |
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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. Kathryn Macleod Heitzhausen 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 |
Kathryn Macleod Heitzhausen, PSYD Po Box 16308, Portland, OR 97292-0308 Ph: (503) 427-2394 | Kathryn Macleod Heitzhausen, PSYD 12570 Sw 69th Ave, Portland, OR 97223-2550 Ph: (503) 427-2394 |
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