Katrina Herzog, MSW, LSWAIC is a medicare enrolled "Counselor" provider in Seattle, Washington. Her current practice location is
600 Broadway Ste 170, Seattle, Washington. You can reach out to her office (for appointments etc.) via phone at
(206) 302-2600.
Katrina Herzog is licensed to practice in * (Not Available) (license number ) 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 1124604764.
Healthcare Provider's Profile
Full Name | Katrina Herzog |
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Gender | Female |
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Speciality | Counselor |
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Location | 600 Broadway Ste 170, Seattle, Washington |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1124604764
- Provider Enumeration Date: 03/23/2021
- Last Update Date: 09/30/2021
Medicare PECOS Information:
- PECOS PAC ID: 7012351992
- Enrollment ID: I20240219003126
Medical Identifiers
Medical identifiers for Katrina Herzog such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124604764 | NPI | - | NPPES |
SC61040620 | Medicaid | WA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SC61040620 (Washington) | Secondary |
101Y00000X | Counselor | (* (Not Available)) | 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. Katrina Herzog allows following entities to bill medicare on her behalf.
Entity Name | Sound Mental Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780774950 PECOS PAC ID: 1759282197 Enrollment ID: O20040119000053 |
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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. Katrina 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 |
Katrina Herzog, MSW, LSWAIC 6400 Southcenter Blvd Fl 1, Tukwila, WA 98188-2547 Ph: (206) 901-2041 | Katrina Herzog, MSW, LSWAIC 600 Broadway Ste 170, Seattle, WA 98122-5332 Ph: (206) 302-2600 |
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