Dr Katlyn Hale, PSYD is a medicare enrolled "Psychologist" provider in Kailua-kona, Hawaii. Her current practice location is
79-938 W Honalo Rd, Kailua-kona, Hawaii. You can reach out to her office (for appointments etc.) via phone at
(808) 430-0336.
Dr Katlyn Hale is licensed to practice in Hawaii (license number PSY-1594) 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 1760765796.
Healthcare Provider's Profile
| Full Name | Dr Katlyn Hale |
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| Gender | Female |
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| Speciality | Psychologist |
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| Location | 79-938 W Honalo Rd, Kailua-kona, Hawaii |
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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: 1760765796
- Provider Enumeration Date: 09/26/2011
- Last Update Date: 10/28/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658717889
- Enrollment ID: I20240311002722
Medical Identifiers
Medical identifiers for Dr Katlyn Hale such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760765796 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC2200X | Psychologist - Clinical Child & Adolescent | PSY-1594 (Hawaii) | Secondary |
| 103T00000X | Psychologist | PSY-1594 (Hawaii) | 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 Katlyn Hale allows following entities to bill medicare on her behalf.
| Entity Name | Imua Health Group, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1023648995
PECOS PAC ID: 4082042650
Enrollment ID: O20200312001868 |
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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 Katlyn Hale 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 Katlyn Hale, PSYD
Po Box 1061,
Kealakekua, HI 96750-1061
Ph: (808) 430-0336 | Dr Katlyn Hale, PSYD
79-938 W Honalo Rd,
Kailua-kona, HI 96740
Ph: (808) 430-0336 |
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