Kathryn Macleod Heitzhausen, PSYD is a medicare enrolled "Psychologist" provider in Portland, Oregon. She went to Pacific University - College Of Optometry and graduated in 2020 and has 5 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Western Psychological And Counseling Services Llc and her current practice location is
12570 Sw 69th Ave, Portland, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 427-2394.
Kathryn Macleod Heitzhausen is licensed to practice in Oregon (license number 3363) 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 1558716902.
Healthcare Provider's Profile
| Full Name | Kathryn Macleod Heitzhausen |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 5 Years |
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| Location | 12570 Sw 69th Ave, Portland, Oregon |
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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. |
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Medical Education and Training:
- Kathryn Macleod Heitzhausen attended and graduated from Pacific University - College Of Optometry in 2020
NPI Data:
- NPI Number: 1558716902
- Provider Enumeration Date: 05/03/2016
- Last Update Date: 11/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 6507234267
- Enrollment ID: I20221130002121
Medical Identifiers
Medical identifiers for Kathryn Macleod Heitzhausen such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558716902 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | 3363 (Oregon) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
| 103T00000X | Psychologist | 3363 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Western Psychological And Counseling Services Llc | 7719975085 | 204 |
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. Kathryn Macleod Heitzhausen allows following entities to bill medicare on her behalf.
| Entity Name | Western Psychological And Counseling Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1912008178
PECOS PAC ID: 7719975085
Enrollment ID: O20040505000049 |
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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. Kathryn Macleod Heitzhausen 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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Kathryn Macleod Heitzhausen, PSYD
Po Box 16308,
Portland, OR 97292-0308
Ph: (503) 427-2394 | Kathryn Macleod Heitzhausen, PSYD
12570 Sw 69th Ave,
Portland, OR 97223-2550
Ph: (503) 427-2394 |
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