Phillip Hathaway, LMSW in Rexburg, ID - Medicare Clinical Social Worker Provider

Phillip Hathaway, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Rexburg, Idaho. He graduated from medical school in 2018 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Tueller Counseling Inc and his current practice location is 253 S 2nd E Bsmt, Rexburg, Idaho. You can reach out to his office (for appointments etc.) via phone at (253) 232-3957.

Phillip Hathaway is licensed to practice in Idaho (license number LMSW-38731) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1316507296.

Contact Information

	Phillip Hathaway, LMSW
	253 S 2nd E Bsmt, Rexburg, ID 83440-2202
	(253) 232-3957
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Phillip Hathaway
Gender	Male
Speciality	Clinical Social Worker
Experience	8 Years
Location	253 S 2nd E Bsmt, Rexburg, Idaho
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Phillip Hathaway graduated from medical school in 2018

NPI Data:

NPI Number: 1316507296
Provider Enumeration Date: 06/13/2019
Last Update Date: 06/13/2019

Medicare PECOS Information:

PECOS PAC ID: 4284003757
Enrollment ID: I20221206002256

Medical Identifiers

Medical identifiers for Phillip Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316507296	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LMSW-38731 (Idaho)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tueller Counseling Inc	0547585895	17

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. Phillip Hathaway allows following entities to bill medicare on his behalf.

Entity Name	Tueller Counseling Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477766905 PECOS PAC ID: 0547585895 Enrollment ID: O20150210000176

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. Phillip Hathaway 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
Phillip Hathaway, LMSW 253 S 2nd E Bsmt, Rexburg, ID 83440-2202 Ph: (253) 232-3957	Phillip Hathaway, LMSW 253 S 2nd E Bsmt, Rexburg, ID 83440-2202 Ph: (253) 232-3957

Reviews and Comments

Social Worker in Rexburg, ID

Courtney I Stimpson, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1069 Summers Dr Ste B, Rexburg, ID 83440 Phone: 208-557-3430
Ms. Janell Clement, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 218 Dividend Dr, Rexburg, ID 83440 Phone: 208-359-9683
Rhet Dalling, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 72 S 1st E Ste 103, Rexburg, ID 83440 Phone: 208-356-4900 Fax: 208-372-1023
Ambrya Ande White, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-4840 Fax: 208-359-9010
Eric Scott Fernelius, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 339 E 7th N, Rexburg, ID 83440 Phone: 801-510-4750
Trevor James Nelson, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 33 Madison Professional Park, Rexburg, ID 83440 Phone: 208-243-9304 Fax: 208-656-5668
Kerry Anne Draney, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 393 E 2nd N, Rexburg, ID 83440 Phone: 208-359-4840 Fax: 208-359-9010

Phillip Hathaway, LMSW - Medicare Clinical Social Worker in Rexburg, ID