Kellie Christine Hergenrader, in Port Townsend, WA

Kellie Christine Hergenrader, is a medicare enrolled "Physician Assistant" in Port Townsend, Washington. Her current practice location is 915 Sheridan St, Port Townsend, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 385-4848.

Kellie Christine Hergenrader is licensed to practice in Washington (license number PA61479777) 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 1447911540.

Contact Information

	Kellie Christine Hergenrader,
	915 Sheridan St, Port Townsend, WA 98368-2931
	(360) 385-4848
	Not Available

Map and Direction

Provider's Profile

Full Name	Kellie Christine Hergenrader
Gender	Female
Speciality	Physician Assistant
Location	915 Sheridan St, Port Townsend, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447911540
Provider Enumeration Date: 01/01/2022
Last Update Date: 12/01/2023

Medicare PECOS Information:

PECOS PAC ID: 4385092097
Enrollment ID: I20231219001186

Medical Identifiers

Medical identifiers for Kellie Christine Hergenrader such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447911540	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363AM0700X	Physician Assistant - Medical	(* (Not Available))	Secondary
390200000X	Student In An Organized Health Care Education/training Program	(* (Not Available))	Secondary
363A00000X	Physician Assistant	PA61479777 (Washington)	Primary

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. Kellie Christine Hergenrader 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
Kellie Christine Hergenrader, 834 Sheridan St, Port Townsend, WA 98368-2443 Ph: (360) 385-2200	Kellie Christine Hergenrader, 915 Sheridan St, Port Townsend, WA 98368-2931 Ph: (360) 385-4848

Reviews and Comments

Physician Assistant Nurses in Port Townsend, WA

Daniel W Walkowski, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200
Mrs. Angela Jackson, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Sheridan St., Port Townsend, WA 98368 Phone: 360-379-8031 Fax: 360-379-4383
Jennifer A Lovato, PA-C Physician Assistant Medicare: Medicare Enrolled Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-344-0400
Sara Christensen, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St Ste B, Port Townsend, WA 98368 Phone: 360-385-2204 Fax: 360-385-2205
Lonna Marie Hampton, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 915 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-4848 Fax: 360-379-4383
Vitaliy Berezhnoy, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-385-2200 Fax: 360-344-0411
Dean Short, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 834 Sheridan St, Port Townsend, WA 98368 Phone: 360-344-3090 Fax: 360-344-3089

Kellie Christine Hergenrader, - Medicare Physician Assistant in Port Townsend, WA