Kendra Hathaway, LLMFT, FLE is a medicare enrolled "Marriage & Family Therapist" provider in Pontiac, Michigan. Her current practice location is
462 N Telegraph Rd, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 234-7540.
Kendra Hathaway is licensed to practice in Michigan (license number 4101006757) 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 1962961771.
Healthcare Provider's Profile
Full Name | Kendra Hathaway |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 462 N Telegraph Rd, Pontiac, Michigan |
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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: 1962961771
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931634367
- Enrollment ID: I20241122000225
Medical Identifiers
Medical identifiers for Kendra Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1962961771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 4101006757 (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. Kendra Hathaway allows following entities to bill medicare on her behalf.
Entity Name | Osh-mi Physicians Group Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
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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. Kendra Hathaway 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 |
Kendra Hathaway, LLMFT, FLE Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Kendra Hathaway, LLMFT, FLE 462 N Telegraph Rd, Pontiac, MI 48341-1037 Ph: (248) 234-7540 |
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