Kenyacktie Hartshorn, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Burien, Washington. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Franciscan Medical Group and 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 | Clinical Psychologist |
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Experience | 14 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 graduated from medical school in 2010
NPI Data:
- NPI Number: 1144510942
- Provider Enumeration Date: 04/13/2011
- Last Update Date: 12/03/2016
Medicare PECOS Information:
- PECOS PAC ID: 2668629239
- Enrollment ID: I20120904000680
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 |
Medical Facilities Affiliation
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Franciscan Medical Group | 0547173866 | 1173 |
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. Kenyacktie Hartshorn allows following entities to bill medicare on her behalf.
Entity Name | Franciscan Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093165334 PECOS PAC ID: 0547173866 Enrollment ID: O20031111000789 |
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Entity Name | Franciscan Health System |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1972538312 PECOS PAC ID: 1557254935 Enrollment ID: O20040209000147 |
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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. 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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