Dr Kelsie Hendrickson, PHD in Twin Falls, ID - Medicare Psychologist Provider

Dr Kelsie Hendrickson, PHD is a medicare enrolled "Psychologist - Clinical" provider in Twin Falls, Idaho. Her current practice location is 550 Polk St, Twin Falls, Idaho. You can reach out to her office (for appointments etc.) via phone at (208) 814-9100.

Dr Kelsie Hendrickson is licensed to practice in Idaho (license number 203021) 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 1205203064.

Contact Information

	Dr Kelsie Hendrickson, PHD
	550 Polk St, Twin Falls, ID 83301-3916
	(208) 814-9100
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Kelsie Hendrickson
Gender	Female
Speciality	Psychologist - Clinical
Location	550 Polk St, Twin Falls, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205203064
Provider Enumeration Date: 08/27/2015
Last Update Date: 01/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8628334232
Enrollment ID: I20171115002228

Medical Identifiers

Medical identifiers for Dr Kelsie Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205203064	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	203021 (Idaho)	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. Dr Kelsie Hendrickson allows following entities to bill medicare on her behalf.

Entity Name	St Lukes Clinic Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1790718229 PECOS PAC ID: 1052217478 Enrollment ID: O20031208000899

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. Dr Kelsie Hendrickson 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
Dr Kelsie Hendrickson, PHD 550 Polk St, Twin Falls, ID 83301-3916 Ph: (208) 814-9100	Dr Kelsie Hendrickson, PHD 550 Polk St, Twin Falls, ID 83301-3916 Ph: (208) 814-9100

Reviews and Comments

Psychologist in Twin Falls, ID

James A Tyson, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 788 Eastland Dr, Twin Falls, ID 83301 Phone: 208-734-1281 Fax: 208-734-1282
Dr. Philip Brownell, PSYCHOLOGY Psychologist Medicare: Not Enrolled in Medicare Practice Location: 826 Eastland Dr, Twin Falls, ID 83301 Phone: 208-734-3312 Fax: 208-734-5036
Dr. Richard Vaughn Smith, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 526 M. Shoup Ave. W. Ste.#1, Twin Falls, ID 83301 Phone: 208-734-0447
Dr. Lucas Owen Bossard, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 794 Eastland Dr, Twin Falls, ID 83301 Phone: 208-734-1281
Mr. Rick N. Ho Chee, LSW Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2466 Addison Ave. East, Twin Falls, ID 83301 Phone: 208-736-0902 Fax: 208-737-0996
Charity Helen Kouri, LPC Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1546 Brookside Loop, Twin Falls, ID 83301 Phone: 720-768-4480

Dr Kelsie Hendrickson, PHD - Medicare Psychologist in Twin Falls, ID