Mrs Tabitha Gail Hennagan, LPC is a medicare enrolled "Counselor - Mental Health" provider in Mc Coll, South Carolina. Her current practice location is
3080 Highway 15-401 E, Mc Coll, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(843) 523-5751.
Mrs Tabitha Gail Hennagan is licensed to practice in South Carolina (license number 7984) 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 1689981276.
Healthcare Provider's Profile
Full Name | Mrs Tabitha Gail Hennagan |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 3080 Highway 15-401 E, Mc Coll, South Carolina |
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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: 1689981276
- Provider Enumeration Date: 09/03/2010
- Last Update Date: 02/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 5991158560
- Enrollment ID: I20240130003659
Medical Identifiers
Medical identifiers for Mrs Tabitha Gail Hennagan such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1689981276 | NPI | - | NPPES |
PC2513 | Medicaid | SC | |
SCR603 | Other | SC | MEDICARE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 7984 (South Carolina) | 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. Mrs Tabitha Gail Hennagan allows following entities to bill medicare on her behalf.
Entity Name | Caresouth Carolina Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1720082571 PECOS PAC ID: 1052221314 Enrollment ID: O20040511000280 |
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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. Mrs Tabitha Gail Hennagan 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 |
Mrs Tabitha Gail Hennagan, LPC Po Box 1090, Hartsville, SC 29551-1090 Ph: (843) 857-0111 | Mrs Tabitha Gail Hennagan, LPC 3080 Highway 15-401 E, Mc Coll, SC 29570-6128 Ph: (843) 523-5751 |
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