Katelyn Van Doorn, PSYD - Medicare Counselor in Dover, NH

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Katelyn Van Doorn, PSYD is a medicare enrolled "Psychologist" provider in Dover, New Hampshire. Her current practice location is 10 Members Way Ste 300, Dover, New Hampshire. You can reach out to her office (for appointments etc.) via phone at (603) 749-0913.

Katelyn Van Doorn is licensed to practice in New Hampshire (license number 1630) 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 1184075384.

Contact Information

Katelyn Van Doorn, PSYD
10 Members Way Ste 300,
Dover, NH 03820-5933
(603) 749-0913
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKatelyn Van Doorn
GenderFemale
SpecialityPsychologist
Location10 Members Way Ste 300, Dover, New Hampshire
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1184075384
  • Provider Enumeration Date: 06/29/2016
  • Last Update Date: 05/13/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901278621
  • Enrollment ID: I20230207000261

Medical Identifiers

Medical identifiers for Katelyn Van Doorn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184075384NPI-NPPES
3139079MedicaidNH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
103T00000XPsychologist 1630 (New Hampshire)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. Katelyn Van Doorn allows following entities to bill medicare on her behalf.
Entity NameWentworth Douglass Physician Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447352430
PECOS PAC ID: 5496749848
Enrollment ID: O20040409000433

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. Katelyn Van Doorn 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 AddressPractice Location Address
Katelyn Van Doorn, PSYD
Po Box 412503,
Boston, MA 02241-2620

Ph: (617) 726-3884		Katelyn Van Doorn, PSYD
10 Members Way Ste 300,
Dover, NH 03820-5933

Ph: (603) 749-0913

Reviews and Comments


Psychologist in Dover, NH


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.