Ms Kathy L Pendergraft, is a medicare enrolled "Behavior Analyst" provider in Antlers, Oklahoma. Her current practice location is
112 N High St, Antlers, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 298-3001.
Ms Kathy L Pendergraft is licensed to practice in * (Not Available) (license number ) 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 1083055933.
Healthcare Provider's Profile
Full Name | Ms Kathy L Pendergraft |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 112 N High St, Antlers, Oklahoma |
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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: 1083055933
- Provider Enumeration Date: 07/08/2013
- Last Update Date: 01/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557714169
- Enrollment ID: I20240131001162
Medical Identifiers
Medical identifiers for Ms Kathy L Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1083055933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | 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. Ms Kathy L Pendergraft allows following entities to bill medicare on her behalf.
Entity Name | Quest Mhsa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1174776819 PECOS PAC ID: 4688943657 Enrollment ID: O20170927004331 |
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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. Ms Kathy L Pendergraft 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 |
Ms Kathy L Pendergraft, Po Box 309, Antlers, OK 74523-0309 Ph: (580) 298-3001 | Ms Kathy L Pendergraft, 112 N High St, Antlers, OK 74523-2250 Ph: (580) 298-3001 |
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