Kenneth Lake Hennefer, LCSW in Midvale, UT - Medicare Counselor Provider

Kenneth Lake Hennefer, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Midvale, Utah. His current practice location is 7321 S State St, Ste A-b, Midvale, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 352-2844.

Kenneth Lake Hennefer is licensed to practice in Utah (license number 116860-3501) 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 1538207154.

Contact Information

	Kenneth Lake Hennefer, LCSW
	7321 S State St, Ste A-b, Midvale, UT 84047-2055
	(801) 352-2844
	(801) 942-1973

Map and Direction

Healthcare Provider's Profile

Full Name	Kenneth Lake Hennefer
Gender	Male
Speciality	Counselor - Mental Health
Location	7321 S State St, Midvale, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538207154
Provider Enumeration Date: 02/03/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 4082741418
Enrollment ID: I20100416000248

Medical Identifiers

Medical identifiers for Kenneth Lake Hennefer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538207154	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	116860-3501 (Utah)	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. Kenneth Lake Hennefer allows following entities to bill medicare on his behalf.

Entity Name	Kenneth L Hennefer And Associates Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316261167 PECOS PAC ID: 9638206063 Enrollment ID: O20100416000221

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. Kenneth Lake Hennefer 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
Kenneth Lake Hennefer, LCSW 3231 Mcneill Cir, Sandy, UT 84093-2136 Ph: (801) 942-1973	Kenneth Lake Hennefer, LCSW 7321 S State St, Ste A-b, Midvale, UT 84047-2055 Ph: (801) 352-2844

Reviews and Comments

Counselor in Midvale, UT

Corey James Markisich, LSAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7300 S 300 W, Suite 101, Midvale, UT 84047 Phone: 801-984-1717 Fax: 801-984-1720
Meg Blair Radunich, ACMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7070 S Union Park Ave Ste 150, Midvale, UT 84047 Phone: 801-528-7309
Kirsty Mclaren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6771 S 900 E, Midvale, UT 84047 Phone: 801-386-9799
George Andrew Fish, MA, CMHC Counselor Medicare: Medicare Enrolled Practice Location: 7070 S Union Park Ave Ste 150, Midvale, UT 84047 Phone: 801-528-7309 Fax: 385-446-2650
Mr. Michael William Dahlgren, Counselor Medicare: Not Enrolled in Medicare Practice Location: 75 E Fort Union Blvd Ste 135, Midvale, UT 84047 Phone: 801-603-2547
Kaitlin Huckaby, LCMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 613 E Fort Union Blvd Ste 104, Midvale, UT 84047 Phone: 801-984-1717 Fax: 801-984-1720
Kristina Moriah Maccaughan, ACMHC, ATR-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 940 E South Union Ave, Midvale, UT 84047 Phone: 385-346-0031

Kenneth Lake Hennefer, LCSW - Medicare Counselor in Midvale, UT