Kenyacktie Hartshorn, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Burien, Washington. Her current practice location is
16251 Sylvester Rd Sw, Burien, Washington. You can reach out to her office (for appointments etc.) via phone at
(253) 226-1369.
Kenyacktie Hartshorn is licensed to practice in Washington (license number PY60212285) 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 1144510942.
Healthcare Provider's Profile
Full Name | Kenyacktie Hartshorn |
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Gender | Female |
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Speciality | |
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Experience | Years |
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Location | 16251 Sylvester Rd Sw, Burien, Washington |
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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:
- Kenyacktie Hartshorn attended and graduated from in
NPI Data:
- NPI Number: 1144510942
- Provider Enumeration Date: 04/13/2011
- Last Update Date: 12/03/2016
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Kenyacktie Hartshorn such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1144510942 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TA0700X | Psychologist - Adult Development & Aging | PY60212285 (Washington) | Secondary |
103TC0700X | Psychologist - Clinical | PY60212285 (Washington) | Primary |
103T00000X | Psychologist | PY60212285 (Washington) | Secondary |
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. Kenyacktie Hartshorn 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 |
Kenyacktie Hartshorn, PSYD Po Box 25173, Federal Way, WA 98093-2173 Ph: () - | Kenyacktie Hartshorn, PSYD 16251 Sylvester Rd Sw, Burien, WA 98166-3017 Ph: (253) 226-1369 |
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