Ms Levon Olivia Hatathlie, LMSW is a medicare enrolled "Social Worker" provider in Pinon, Arizona. Her current practice location is
Navajo Route 4, Pinon, Arizona. You can reach out to her office (for appointments etc.) via phone at
(928) 725-3220.
Ms Levon Olivia Hatathlie is licensed to practice in Arizona (license number LMSW-11911) 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 1366657843.
Healthcare Provider's Profile
| Full Name | Ms Levon Olivia Hatathlie |
|---|
| Gender | Female |
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| Speciality | Social Worker |
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| Location | Navajo Route 4, Pinon, Arizona |
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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: 1366657843
- Provider Enumeration Date: 05/10/2007
- Last Update Date: 05/06/2015
Medicare PECOS Information:
- PECOS PAC ID: 3274799069
- Enrollment ID: I20120723000911
Medical Identifiers
Medical identifiers for Ms Levon Olivia Hatathlie such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1366657843 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | LISAC-10327 (Arizona) | Secondary |
| 104100000X | Social Worker | LMSW-11911 (Arizona) | 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 Levon Olivia Hatathlie allows following entities to bill medicare on her behalf.
| Entity Name | Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1083643738
PECOS PAC ID: 1759290901
Enrollment ID: O20031105000797 |
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| Entity Name | Dhhs Phs Naihs Chinle Comprehensive Health Care Facility |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1508800129
PECOS PAC ID: 9436062585
Enrollment ID: O20031106000210 |
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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 Levon Olivia Hatathlie 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 Levon Olivia Hatathlie, LMSW
Po Box Ph,
Chinle, AZ 86503-8000
Ph: (928) 674-7166 | Ms Levon Olivia Hatathlie, LMSW
Navajo Route 4,
Pinon, AZ 86510-0010
Ph: (928) 725-3220 |
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