Karyn Hartz-mandell, PHD is a medicare enrolled "Psychologist - Clinical Child & Adolescent" in Providence, Rhode Island. Her current practice location is
1 Hoppin St, Coro West, Suite 204, 2.115, Providence, Rhode Island. You can reach out to her office (for appointments etc.) via phone at
(401) 793-8860.
Karyn Hartz-mandell is licensed to practice in Rhode Island (license number PS01550) 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 1578926952.
Provider's Profile
| Full Name | Karyn Hartz-mandell |
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| Gender | Female |
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| Speciality | Psychologist - Clinical Child & Adolescent |
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| Location | 1 Hoppin St, Providence, Rhode Island |
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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: 1578926952
- Provider Enumeration Date: 04/01/2016
- Last Update Date: 07/17/2023
Medicare PECOS Information:
- PECOS PAC ID: 7113271214
- Enrollment ID: I20220126000052
Medical Identifiers
Medical identifiers for Karyn Hartz-mandell such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1578926952 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363AM0700X | Physician Assistant - Medical | 24448 (New York) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PS01550 (Rhode Island) | 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. Karyn Hartz-mandell allows following entities to bill medicare on her behalf.
| Entity Name | University Of Rochester |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1710226824
PECOS PAC ID: 5799699088
Enrollment ID: O20031201000019 |
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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. Karyn Hartz-mandell 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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Karyn Hartz-mandell, PHD
1011 Veterans Memorial Pkwy, Bradley Research Center, Coro West, Suite 204, 2.115,
Riverside, RI 02915-5061
Ph: (401) 793-8860 | Karyn Hartz-mandell, PHD
1 Hoppin St, Coro West, Suite 204, 2.115,
Providence, RI 02903-4141
Ph: (401) 793-8860 |
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