Kathleen Herzog, PA-C in Longview, WA - Medicare Physician Assistant

Kathleen Herzog, PA-C is a medicare enrolled "Physician Assistant" in Longview, Washington. She graduated from nursing school in 2018 and has 6 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Silver Falls Dermatology Llc and her current practice location is 1338 Commerce Ave Ste 106, Longview, Washington. You can reach out to her office (for appointments etc.) via phone at (971) 915-8587.

Kathleen Herzog is licensed to practice in Washington (license number PA61098708) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1881169365.

Contact Information

	Kathleen Herzog, PA-C
	1338 Commerce Ave Ste 106, Longview, WA 98632-3732
	(971) 915-8587
	(503) 362-8435

Map and Direction

Provider's Profile

Full Name	Kathleen Herzog
Gender	Female
Speciality	Physician Assistant
Experience	6 Years
Location	1338 Commerce Ave Ste 106, Longview, Washington
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Kathleen Herzog graduated from nursing school in 2018

NPI Data:

NPI Number: 1881169365
Provider Enumeration Date: 10/10/2018
Last Update Date: 10/15/2024

Medicare PECOS Information:

PECOS PAC ID: 3678818416
Enrollment ID: I20230223001377

Medical Identifiers

Medical identifiers for Kathleen Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1881169365	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363A00000X	Physician Assistant	PA61098708 (Washington)	Primary
363AS0400X	Physician Assistant - Surgical	7266 (Arizona)	Secondary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Silver Falls Dermatology Llc	5890863492	81

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. Kathleen Herzog 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
Kathleen Herzog, PA-C 1793 13th St Se, Salem, OR 97302-2541 Ph: (503) 362-8385	Kathleen Herzog, PA-C 1338 Commerce Ave Ste 106, Longview, WA 98632-3732 Ph: (971) 915-8587

Reviews and Comments

Physician Assistant Nurses in Longview, WA

David L Oliver, P.A. Physician Assistant Medicare: Medicare Enrolled Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-9580 Fax: 360-423-6230
Jesse R Shaffer, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-501-3500 Fax: 360-501-3555
Matthew Johnson, PHYSICIAN ASSISTANT Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2730 Fax: 360-414-2739
Nicholas E Austin, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 1706 Washington Way, Longview, WA 98632 Phone: 360-423-0390 Fax: 360-577-3865
Eric Pascual, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 921 14th Avenue, Longview, WA 98632 Phone: 360-423-0203 Fax: 360-423-5086
Dwight Christian Tan, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 1615 Delaware St, Longview, WA 98632 Phone: 360-414-2000
Ellie Renae Wells, Physician Assistant Medicare: Medicare Enrolled Practice Location: 1230 7th Ave, Longview, WA 98632 Phone: 360-636-2400

Kathleen Herzog, PA-C - Medicare Physician Assistant in Longview, WA