Dr Lesly Jane Hendershot, PSYD, BCBA-D is a medicare enrolled "Behavior Analyst" provider in Southfield, Michigan. Her current practice location is
30503 Greenfield Rd, Southfield, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 691-4744.
Dr Lesly Jane Hendershot is licensed to practice in * (Not Available) (license number ) 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 1669605010.
Healthcare Provider's Profile
Full Name | Dr Lesly Jane Hendershot |
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Gender | Female |
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Speciality | Behavior Analyst |
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Location | 30503 Greenfield Rd, Southfield, 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: 1669605010
- Provider Enumeration Date: 09/02/2009
- Last Update Date: 10/21/2020
Medicare PECOS Information:
- PECOS PAC ID: 0446595359
- Enrollment ID: I20181221000600
Medical Identifiers
Medical identifiers for Dr Lesly Jane Hendershot such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1669605010 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | 6301014875 (Michigan) | Secondary |
103TC2200X | Psychologist - Clinical Child & Adolescent | 6301014875 (Michigan) | Secondary |
103K00000X | Behavior Analyst | (* (Not Available)) | 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. Dr Lesly Jane Hendershot allows following entities to bill medicare on her behalf.
Entity Name | Beaumont Medical Group- Specialty Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1578072906 PECOS PAC ID: 7214299866 Enrollment ID: O20180320002549 |
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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. Dr Lesly Jane Hendershot 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 Lesly Jane Hendershot, PSYD, BCBA-D 26901 Beaumont Blvd, Southfield, MI 48033-3849 Ph: (947) 522-1867 | Dr Lesly Jane Hendershot, PSYD, BCBA-D 30503 Greenfield Rd, Southfield, MI 48076-1594 Ph: (248) 691-4744 |
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