Dr Katherine Alexis Jong, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Lopez Island, Washington. Her current practice location is
136 Island View Pl # 423, Lopez Island, Washington. You can reach out to her office (for appointments etc.) via phone at
(917) 447-8264.
Dr Katherine Alexis Jong is licensed to practice in Washington (license number MD60872419) 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 1447614235.
Physician's Profile
| Full Name | Dr Katherine Alexis Jong |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 136 Island View Pl # 423, Lopez Island, Washington |
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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: 1447614235
- Provider Enumeration Date: 04/08/2016
- Last Update Date: 06/09/2021
Medicare PECOS Information:
- PECOS PAC ID: 2062703606
- Enrollment ID: I20201119000204
Medical Identifiers
Medical identifiers for Dr Katherine Alexis Jong such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1447614235 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | MED-PHYS-LIC-88296 (Montana) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | MD60872419 (Washington) | 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. Dr Katherine Alexis Jong allows following entities to bill medicare on her behalf.
| Entity Name | State Of Montana |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1356351183
PECOS PAC ID: 3870499676
Enrollment ID: O20031211000579 |
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| Entity Name | Frontier Psychiatry Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508493156
PECOS PAC ID: 7315378874
Enrollment ID: O20200518000234 |
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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. Dr Katherine Alexis Jong 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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Dr Katherine Alexis Jong, MD
685 Spring St # 222,
Friday Harbor, WA 98250-8058
Ph: (206) 486-6467 | Dr Katherine Alexis Jong, MD
136 Island View Pl # 423,
Lopez Island, WA 98261-8732
Ph: (917) 447-8264 |
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