Kendra Lauren Haven, PHD in Smithtown, NY - Medicare Psychologist Provider

Kendra Lauren Haven, PHD is a medicare enrolled "Psychologist - Clinical" provider in Smithtown, New York. Her current practice location is 7 Route 25a, Smithtown, New York. You can reach out to her office (for appointments etc.) via phone at (631) 724-2200.

Kendra Lauren Haven is licensed to practice in New York (license number 008198) 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 1205939493.

Contact Information

	Kendra Lauren Haven, PHD
	7 Route 25a, Smithtown, NY 11787-1626
	(631) 724-2200
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kendra Lauren Haven
Gender	Female
Speciality	Psychologist - Clinical
Location	7 Route 25a, Smithtown, New York
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1205939493
Provider Enumeration Date: 09/06/2006
Last Update Date: 06/02/2009

Medicare PECOS Information:

PECOS PAC ID: 3173585668
Enrollment ID: I20041027000882

Medical Identifiers

Medical identifiers for Kendra Lauren Haven such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1205939493	NPI	-	NPPES
00906487	Medicaid	NY

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	008198 (New York)	Secondary
103TC0700X	Psychologist - Clinical	008198 (New York)	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 Lauren Haven allows following entities to bill medicare on her behalf.

Entity Name	Mindhealth Psychological Services, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205239480 PECOS PAC ID: 3072837392 Enrollment ID: O20150115000521

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 Lauren Haven 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 Lauren Haven, PHD 65 Chestnut Hill Rd, Stone Ridge, NY 12484-5562 Ph: (845) 687-7067	Kendra Lauren Haven, PHD 7 Route 25a, Smithtown, NY 11787-1626 Ph: (631) 724-2200

Reviews and Comments

Psychologist in Smithtown, NY

Dr. Sagit Vishnia, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 88 Terry Rd, Suite #2, Smithtown, NY 11787 Phone: 516-263-5160 Fax: 631-751-1278
Dr. Mark Lawrence Dayboch, PSY.D. Psychologist Medicare: Medicare Enrolled Practice Location: 119 Fifty Acre Rd S, Smithtown, NY 11787 Phone: 631-979-9294
Karleen Marie Gabriel, SCHOOL PSYCHOLOGIST Psychologist Medicare: Not Enrolled in Medicare Practice Location: 35 Steven Pl, Smithtown, NY 11787 Phone: 631-807-2010
Christine Spence, PSYD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 410 Landing Ave, Smithtown, NY 11787 Phone: 631-229-6942 Fax: 631-229-6942
Melinda Delcastillo, MD Psychologist Medicare: Medicare Enrolled Practice Location: 278 E Main St, Smithtown, NY 11787 Phone: 631-361-6960 Fax: 631-366-5346
Dr. Emma Leah Hettrich, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 400 Sunset Ln, Smithtown, NY 11787 Phone: 631-338-7088
Dr. Oren Michael Shefet, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 21 Redwood Ln, Smithtown, NY 11787 Phone: 917-446-4532

Kendra Lauren Haven, PHD - Medicare Psychologist in Smithtown, NY