Kendra Hathaway, LLMFT, FLE is a medicare enrolled "Marriage & Family Therapist" provider in Pontiac, Michigan. She graduated from healthcare school in 2019 and has 6 years of diverse experience with area of expertise as Marriage And Family Therapist. She is a member of the group practice Osh-mi Physicians Group Pc and her current practice location is
462 N Telegraph Rd, Pontiac, Michigan. You can reach out to her office (for appointments etc.) via phone at
(248) 234-7540.
Kendra Hathaway is licensed to practice in Michigan (license number 4101006757) 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 1962961771.
Healthcare Provider's Profile
| Full Name | Kendra Hathaway |
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| Gender | Female |
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| Speciality | Marriage And Family Therapist |
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| Experience | 6 Years |
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| Location | 462 N Telegraph Rd, Pontiac, Michigan |
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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. |
Medical Education and Training:
- Kendra Hathaway graduated from medical school in 2019
NPI Data:
- NPI Number: 1962961771
- Provider Enumeration Date: 03/19/2019
- Last Update Date: 06/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9931634367
- Enrollment ID: I20241122000225
Medical Identifiers
Medical identifiers for Kendra Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1962961771 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 106H00000X | Marriage & Family Therapist | 4101006757 (Michigan) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Osh-mi Physicians Group Pc | 7810282191 | 157 |
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. Kendra Hathaway allows following entities to bill medicare on her behalf.
| Entity Name | Osh-mi Physicians Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1700236478 PECOS PAC ID: 7810282191 Enrollment ID: O20160825001362 |
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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. Kendra 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 |
Kendra Hathaway, LLMFT, FLE Po Box 746723, Atlanta, GA 30374-6723 Ph: (312) 733-9730 | Kendra Hathaway, LLMFT, FLE 462 N Telegraph Rd, Pontiac, MI 48341-1037 Ph: (248) 234-7540 |
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