Dr Gale Sandra Hackworth, PHD in Saint Joseph, MI - Medicare Clinical Psychologist Provider

Dr Gale Sandra Hackworth, PHD is a medicare enrolled "Psychologist - Clinical" provider in Saint Joseph, Michigan. She graduated from medical school in 2001 and has 23 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Lighthouse Behavioral Health Pllc and her current practice location is 811 Ship St Ste 4b, Saint Joseph, Michigan. You can reach out to her office (for appointments etc.) via phone at (269) 985-3618.

Dr Gale Sandra Hackworth is licensed to practice in Michigan (license number 6301018315) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1710519376.

Contact Information

	Dr Gale Sandra Hackworth, PHD
	811 Ship St Ste 4b, Saint Joseph, MI 49085-1171
	(269) 985-3618
	(269) 609-6009

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Gale Sandra Hackworth
Gender	Female
Speciality	Clinical Psychologist
Experience	23 Years
Location	811 Ship St Ste 4b, Saint Joseph, Michigan
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Gale Sandra Hackworth graduated from medical school in 2001

NPI Data:

NPI Number: 1710519376
Provider Enumeration Date: 02/11/2020
Last Update Date: 01/19/2021

Medicare PECOS Information:

PECOS PAC ID: 5799112827
Enrollment ID: I20220819000159

Medical Identifiers

Medical identifiers for Dr Gale Sandra Hackworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1710519376	NPI	-	NPPES
1699155226	Other	MI	GROUP NPI FOR LIGHTHOUSE BEHAVIORAL HEALTH

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6301018315 (Michigan)	Secondary
103TC0700X	Psychologist - Clinical	6301018315 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lighthouse Behavioral Health Pllc	7214249739	2

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. Dr Gale Sandra Hackworth allows following entities to bill medicare on her behalf.

Entity Name	Lighthouse Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699155226 PECOS PAC ID: 7214249739 Enrollment ID: O20150710002304

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. Dr Gale Sandra Hackworth 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
Dr Gale Sandra Hackworth, PHD 811 Ship St Ste 4b, Saint Joseph, MI 49085-1171 Ph: (269) 985-3618	Dr Gale Sandra Hackworth, PHD 811 Ship St Ste 4b, Saint Joseph, MI 49085-1171 Ph: (269) 985-3618

Reviews and Comments

Psychologist in Saint Joseph, MI

Dr. Bruce Patrick Hackworth, PHD Psychologist Medicare: May Accept Medicare Assignments Practice Location: 811 Ship St, Suite 4b, Saint Joseph, MI 49085 Phone: 269-985-3618 Fax: 269-609-6009
Jennifer M Vanbeck, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085 Phone: 269-982-7200 Fax: 269-982-0202
Krista Matthews, TLLP, LLPC Psychologist Medicare: Medicare Enrolled Practice Location: 1030 Miners Rd, Saint Joseph, MI 49085 Phone: 269-408-1688
Mr. William Andrew Schnell, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2517 Niles Ave, Saint Joseph, MI 49085 Phone: 269-983-1600 Fax: 269-983-7970
Mr. Andrew Thomas Katovsich, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Main St, Saint Joseph, MI 49085 Phone: 269-985-2000 Fax: 269-985-2002
Emily White, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 830 Pleasant St, Saint Joseph, MI 49085 Phone: 269-983-3832
Dr. Andrew Paul Cheff, PSY.D. L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Pleasant St, Saint Joseph, MI 49085 Phone: 269-408-8474 Fax: 269-982-0202

Dr Gale Sandra Hackworth, PHD - Medicare Psychologist in Saint Joseph, MI