Ms Kimberly S Hendrickson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Lanse, Michigan. Her current practice location is
18341 Us Highway 41, Lanse, Michigan. You can reach out to her office (for appointments etc.) via phone at
(906) 524-3355.
Ms Kimberly S Hendrickson is licensed to practice in Michigan (license number 6801073221) 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 1992056824.
Healthcare Provider's Profile
| Full Name | Ms Kimberly S Hendrickson |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 18341 Us Highway 41, Lanse, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992056824
- Provider Enumeration Date: 10/02/2012
- Last Update Date: 03/21/2013
Medicare PECOS Information:
- PECOS PAC ID: 9739330846
- Enrollment ID: I20121120000440
Medical Identifiers
Medical identifiers for Ms Kimberly S Hendrickson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992056824 | NPI | - | NPPES |
| 0960978 | Other | MI | BCBS |
| 1841555430 | Other | MI | RHC MEDICAID NPI NUMBER |
| 23-8646 | Other | MI | RHC MEDICARE |
| 1992056824 | Medicaid | MI | |
| 6801073221 | Other | MI | CLINICAL SOCIAL WORKER LICENSE NUMBER |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 6801073221 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801073221 (Michigan) | 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 Kimberly S Hendrickson allows following entities to bill medicare on her behalf.
| Entity Name | Access Psychological Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1558607473
PECOS PAC ID: 2365662434
Enrollment ID: O20141013002484 |
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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 Kimberly S 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 |
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Ms Kimberly S Hendrickson, MSW
18341 Us Highway 41,
Lanse, MI 49946-8024
Ph: (906) 524-3355 | Ms Kimberly S Hendrickson, MSW
18341 Us Highway 41,
Lanse, MI 49946-8024
Ph: (906) 524-3355 |
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