Mr Kent John Heintzelman, LCSW LSATP is a medicare enrolled "Social Worker - Clinical" provider in Va. Beach, Virginia. His current practice location is
4460 Corporation Lane, Va. Beach, Virginia. You can reach out to his office (for appointments etc.) via phone at
(757) 664-6670.
Mr Kent John Heintzelman is licensed to practice in Virginia (license number 0904003398) 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 1750318259.
Healthcare Provider's Profile
Full Name | Mr Kent John Heintzelman |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 4460 Corporation Lane, Va. Beach, Virginia |
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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: 1750318259
- Provider Enumeration Date: 06/28/2006
- Last Update Date: 01/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 1052450434
- Enrollment ID: I20091124000250
Medical Identifiers
Medical identifiers for Mr Kent John Heintzelman such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1750318259 | NPI | - | NPPES |
008902178 | Medicaid | VA | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 0904003398 (Virginia) | 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. Mr Kent John Heintzelman allows following entities to bill medicare on his behalf.
Entity Name | Christian Psychotherapy Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1437247723 PECOS PAC ID: 8820986953 Enrollment ID: O20040309001135 |
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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. Mr Kent John Heintzelman 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 |
Mr Kent John Heintzelman, LCSW LSATP 281 Independence Blvd, Va. Beach, VA 23462 Ph: (757) 664-6670 | Mr Kent John Heintzelman, LCSW LSATP 4460 Corporation Lane, Va. Beach, VA 23462-2978 Ph: (757) 664-6670 |
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