Ms Kathy L Pendergraft, is a medicare enrolled "Behavior Analyst" provider in Antlers, Oklahoma. She graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. She is a member of the group practice Quest Mhsa and her current practice location is
112 N High St, Antlers, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(580) 298-3001.
Ms Kathy L Pendergraft is licensed to practice in * (Not Available) (license number ) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083055933.
Healthcare Provider's Profile
| Full Name | Ms Kathy L Pendergraft |
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| Gender | Female |
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| Speciality | Mental Health Counselor |
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| Experience | 12 Years |
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| Location | 112 N High St, Antlers, Oklahoma |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Ms Kathy L Pendergraft graduated from medical school in 2014
NPI Data:
- NPI Number: 1083055933
- Provider Enumeration Date: 07/08/2013
- Last Update Date: 01/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 1557714169
- Enrollment ID: I20240131001162
Medical Identifiers
Medical identifiers for Ms Kathy L Pendergraft such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1083055933 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Quest Mhsa | 4688943657 | 10 |
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 Kathy L Pendergraft allows following entities to bill medicare on her behalf.
| Entity Name | Quest Mhsa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1174776819
PECOS PAC ID: 4688943657
Enrollment ID: O20170927004331 |
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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. Ms Kathy L Pendergraft 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 |
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Ms Kathy L Pendergraft,
Po Box 309,
Antlers, OK 74523-0309
Ph: (580) 298-3001 | Ms Kathy L Pendergraft,
112 N High St,
Antlers, OK 74523-2250
Ph: (580) 298-3001 |
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