Kimberly Shanelle Hatchett, LPC in South Boston, VA

Kimberly Shanelle Hatchett, LPC is a medicare enrolled "Counselor - Mental Health" provider in South Boston, Virginia. Her current practice location is 435 Main St, South Boston, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 575-0145.

Kimberly Shanelle Hatchett is licensed to practice in Virginia (license number 0701007731) 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 1285129072.

Contact Information

	Kimberly Shanelle Hatchett, LPC
	435 Main St, South Boston, VA 24592-3241
	(434) 575-0145
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kimberly Shanelle Hatchett
Gender	Female
Speciality	Counselor - Mental Health
Location	435 Main St, South Boston, Virginia
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1285129072
Provider Enumeration Date: 06/25/2018
Last Update Date: 06/25/2018

Medicare PECOS Information:

PECOS PAC ID: 3072958230
Enrollment ID: I20240227002638

Medical Identifiers

Medical identifiers for Kimberly Shanelle Hatchett such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285129072	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	0701007731 (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. Kimberly Shanelle Hatchett allows following entities to bill medicare on her behalf.

Entity Name	Southside Behavioral Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1700890761 PECOS PAC ID: 4284660507 Enrollment ID: O20050708000612

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. Kimberly Shanelle Hatchett 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
Kimberly Shanelle Hatchett, LPC 335 Woodhurst Ln, Roxboro, NC 27573-4265 Ph: (919) 702-5788	Kimberly Shanelle Hatchett, LPC 435 Main St, South Boston, VA 24592-3241 Ph: (434) 575-0145

Reviews and Comments

Counselor in South Boston, VA

Miss Rita Kay Lynch, LPC Counselor Medicare: Medicare Enrolled Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3654
Mr. Jacob Hudson, LPC Counselor Medicare: Medicare Enrolled Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3653 Fax: 434-517-3043
Shavia Truesdale-el, Counselor Medicare: Not Enrolled in Medicare Practice Location: 324 Valley Dr, South Boston, VA 24592 Phone: 434-222-4610
Anne Leggett, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 554 N Main St, Suite 211, South Boston, VA 24592 Phone: 434-572-8000
Matthew Owen, Counselor Medicare: Medicare Enrolled Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3020
Hillary Crenshaw, Counselor Medicare: Not Enrolled in Medicare Practice Location: 424 Hamilton Blvd, South Boston, VA 24592 Phone: 434-476-5526 Fax: 434-374-7804
Mr. Norman Scott Spencer, Counselor Medicare: Not Enrolled in Medicare Practice Location: 504 Wilborn Ave, South Boston, VA 24592 Phone: 434-517-3651 Fax: 434-517-3043

Kimberly Shanelle Hatchett, LPC - Medicare Counselor in South Boston, VA