Ms Carolyn Ann Hennessey, MA, LMFT in Medford, OR - Medicare Marriage & Family Therapist Provider

Ms Carolyn Ann Hennessey, MA, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in Medford, Oregon. Her current practice location is 201 W Main St Ste 4e, Medford, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 281-9026.

Ms Carolyn Ann Hennessey is licensed to practice in Oregon (license number T1879) 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 1003048141.

Contact Information

	Ms Carolyn Ann Hennessey, MA, LMFT
	201 W Main St Ste 4e, Medford, OR 97501-2744
	(541) 281-9026
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Carolyn Ann Hennessey
Gender	Female
Speciality	Marriage & Family Therapist
Location	201 W Main St Ste 4e, Medford, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1003048141
Provider Enumeration Date: 08/21/2009
Last Update Date: 05/01/2025

Medicare PECOS Information:

PECOS PAC ID: 3375994783
Enrollment ID: I20240708000435

Medical Identifiers

Medical identifiers for Ms Carolyn Ann Hennessey such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1003048141	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
106H00000X	Marriage & Family Therapist	T1879 (Oregon)	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. Ms Carolyn Ann Hennessey allows following entities to bill medicare on her behalf.

Entity Name	Sky Lakes Medical Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659340370 PECOS PAC ID: 1052204096 Enrollment ID: O20040204000577

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. Ms Carolyn Ann Hennessey 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
Ms Carolyn Ann Hennessey, MA, LMFT 1832 Earle St, Klamath Falls, OR 97601-2222 Ph: (541) 281-3738	Ms Carolyn Ann Hennessey, MA, LMFT 201 W Main St Ste 4e, Medford, OR 97501-2744 Ph: (541) 281-9026

Reviews and Comments

Marriage & Family Therapist in Medford, OR

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Jessica Kelley, Couples Therapy Medicare: Medicare Enrolled Practice Location: 200 Beatty St, Medford, OR 97501 Phone: 541-476-2373
Miss Marika P Mooyman, MFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1005 E Main St Bldg B, Medford, OR 97504 Phone: 541-774-8201 Fax: 541-774-7979
Jomayra Bermudez Otero, Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 201 W Main St Ste 4e, Medford, OR 97501 Phone: 541-281-9026
Timur Crone, MA Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 1314 Center Dr Ste 408, Medford, OR 97501 Phone: 510-328-3702

Ms Carolyn Ann Hennessey, MA, LMFT - Medicare Couples Therapy in Medford, OR