Katie Hersom, MA in Arvada, CO - Medicare Counselor Provider

Katie Hersom, MA is a medicare enrolled "Counselor - Mental Health" provider in Arvada, Colorado. Her current practice location is 6863 Johnson St, Arvada, Colorado. You can reach out to her office (for appointments etc.) via phone at (720) 443-3934.

Katie Hersom is licensed to practice in Colorado (license number LPC.0020286) 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 1043075161.

Contact Information

	Katie Hersom, MA
	6863 Johnson St, Arvada, CO 80004-2948
	(720) 443-3934
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Katie Hersom
Gender	Female
Speciality	Counselor - Mental Health
Location	6863 Johnson St, Arvada, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1043075161
Provider Enumeration Date: 02/19/2024
Last Update Date: 03/13/2024

Medicare PECOS Information:

PECOS PAC ID: 3072950443
Enrollment ID: I20240320003208

Medical Identifiers

Medical identifiers for Katie Hersom such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1043075161	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC.0020286 (Colorado)	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. Katie Hersom allows following entities to bill medicare on her behalf.

Entity Name	Samantha Ivy Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427557008 PECOS PAC ID: 0840552386 Enrollment ID: O20180322000570

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. Katie Hersom 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
Katie Hersom, MA 6062 Estes St, Arvada, CO 80004-5444 Ph: (720) 443-3934	Katie Hersom, MA 6863 Johnson St, Arvada, CO 80004-2948 Ph: (720) 443-3934

Reviews and Comments

Counselor in Arvada, CO

Esther Terpenning, MFTC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8100 Ralston Rd Ste 120, Arvada, CO 80002 Phone: 720-583-5341
Heather Love Mitchell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12751 W 56th Pl, Arvada, CO 80002 Phone: 303-424-4136
Stacy Schaffer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 12500 W 58th Ave Unit 220, Arvada, CO 80002 Phone: 160-288-5548
Sarah Bolden, MA, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 8420 Sheridan Blvd Apt E303, Arvada, CO 80003 Phone: 412-855-7520
Andrew Ferro, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5400 Ward Rd, Building V, Suite 110, Arvada, CO 80002 Phone: 303-477-8280
Brittany Elise Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5460 Ward Rd Ste 380, Arvada, CO 80002 Phone: 303-519-0620
Stephenie Buehrle, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7600 Kline Dr, Arvada, CO 80005 Phone: 720-445-6326

Katie Hersom, MA - Medicare Counselor in Arvada, CO