John David Hattaway, LPC in Salmon, ID - Medicare Counselor Provider

John David Hattaway, LPC is a medicare enrolled "Counselor - Professional" provider in Salmon, Idaho. His current practice location is 1301 Main St Ste 3b, Salmon, Idaho. You can reach out to his office (for appointments etc.) via phone at (208) 756-2927.

John David Hattaway is licensed to practice in Idaho (license number LPC-2798) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447875059.

Contact Information

	John David Hattaway, LPC
	1301 Main St Ste 3b, Salmon, ID 83467-4452
	(208) 756-2927
	(208) 756-1518

Map and Direction

Healthcare Provider's Profile

Full Name	John David Hattaway
Gender	Male
Speciality	Counselor - Professional
Location	1301 Main St Ste 3b, Salmon, Idaho
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1447875059
Provider Enumeration Date: 06/09/2020
Last Update Date: 06/09/2020

Medicare PECOS Information:

PECOS PAC ID: 1850730755
Enrollment ID: I20240411001817

Medical Identifiers

Medical identifiers for John David Hattaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447875059	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LPC-2798 (Idaho)	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. John David Hattaway allows following entities to bill medicare on his behalf.

Entity Name	Lemhi Valley Social Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1306970652 PECOS PAC ID: 1355582370 Enrollment ID: O20130801000908

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. John David Hattaway 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
John David Hattaway, LPC 1380 Benton St, Idaho Falls, ID 83401-4254 Ph: (208) 523-2490	John David Hattaway, LPC 1301 Main St Ste 3b, Salmon, ID 83467-4452 Ph: (208) 756-2927

Reviews and Comments

Counselor in Salmon, ID

Thomas Monroe Maas, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 803 Monroe St, Salmon, ID 83467 Phone: 208-589-7462
Mr. Howard L Carroll, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 111 Lillian St, Suite 101, Salmon, ID 83467 Phone: 208-756-2970 Fax: 208-756-3018
Rachel Pearson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1301 Main St Ste 3b, Salmon, ID 83467 Phone: 208-756-2927
David Stokes Hone, ND Counselor Medicare: Not Enrolled in Medicare Practice Location: 102 S Warpath, Salmon, ID 83467 Phone: 208-996-3999
Coleen Baird Phelps, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1301 Main St., Suite 3b, Salmon, ID 83467 Phone: 208-756-2927 Fax: 208-756-1518

John David Hattaway, LPC - Medicare Counselor in Salmon, ID