Elizabeth Ellen Hathaway, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Crawfordsville, Indiana. Her current practice location is
1710 Lafayette Rd, Crawfordsville, Indiana. You can reach out to her office (for appointments etc.) via phone at
(765) 362-2800.
Elizabeth Ellen Hathaway is licensed to practice in Indiana (license number 01085661A) 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 1902331846.
Physician's Profile
Full Name | Elizabeth Ellen Hathaway |
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Gender | Female |
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Speciality | Psychiatry & Neurology - Psychiatry |
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Location | 1710 Lafayette Rd, Crawfordsville, Indiana |
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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: 1902331846
- Provider Enumeration Date: 04/28/2017
- Last Update Date: 10/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 3476820895
- Enrollment ID: I20221222002724
Medical Identifiers
Medical identifiers for Elizabeth Ellen Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1902331846 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
2084P0800X | Psychiatry & Neurology - Psychiatry | 01085661A (Indiana) | 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. Elizabeth Ellen Hathaway allows following entities to bill medicare on her behalf.
Entity Name | Franciscan Physician Network |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486 |
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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. Elizabeth Ellen 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 |
Elizabeth Ellen Hathaway, MD Po Box 781076, Detroit, MI 48278-1076 Ph: (317) 528-4800 | Elizabeth Ellen Hathaway, MD 1710 Lafayette Rd, Crawfordsville, IN 47933-1033 Ph: (765) 362-2800 |
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