Dr Bruce Patrick Hackworth, PHD in Saint Joseph, MI - Medicare Clinical Psychologist Provider

Dr Bruce Patrick Hackworth, PHD is a medicare enrolled "Psychologist" provider in Saint Joseph, Michigan. He graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Lighthouse Behavioral Health Pllc and his current practice location is 811 Ship St, Suite 4b, Saint Joseph, Michigan. You can reach out to his office (for appointments etc.) via phone at (269) 985-3618.

Dr Bruce Patrick Hackworth is licensed to practice in Michigan (license number 6801018724) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1063448918.

Contact Information

	Dr Bruce Patrick Hackworth, PHD
	811 Ship St, Suite 4b, Saint Joseph, MI 49085-1171
	(269) 985-3618
	(269) 609-6009

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Bruce Patrick Hackworth
Gender	Male
Speciality	Clinical Psychologist
Experience	28 Years
Location	811 Ship St, Saint Joseph, Michigan
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Dr Bruce Patrick Hackworth graduated from medical school in 1996

NPI Data:

NPI Number: 1063448918
Provider Enumeration Date: 06/23/2006
Last Update Date: 01/01/2016

Medicare PECOS Information:

PECOS PAC ID: 2062456031
Enrollment ID: I20050610000813

Medical Identifiers

Medical identifiers for Dr Bruce Patrick Hackworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1063448918	NPI	-	NPPES
1716175	Medicaid	MI
1699155226	Other	MI	LIGHTHOUSE BEHAVIORAL HEALTH PLLC - GROUP NPI

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	6801018724 (Michigan)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Lighthouse Behavioral Health Pllc	7214249739	3

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. Dr Bruce Patrick Hackworth allows following entities to bill medicare on his behalf.

Entity Name	Lakeland Community Hospital Watervliet
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023114741 PECOS PAC ID: 7416942750 Enrollment ID: O20040416000984

Entity Name	Lighthouse Behavioral Health Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1699155226 PECOS PAC ID: 7214249739 Enrollment ID: O20150710002304

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. Dr Bruce Patrick Hackworth 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
Dr Bruce Patrick Hackworth, PHD 811 Ship St, Suite 4b, Saint Joseph, MI 49085-1171 Ph: (269) 985-3618	Dr Bruce Patrick Hackworth, PHD 811 Ship St, Suite 4b, Saint Joseph, MI 49085-1171 Ph: (269) 985-3618

Reviews and Comments

Psychologist in Saint Joseph, MI

Jennifer M Vanbeck, PSY.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1901 Niles Ave, Suite 102, Saint Joseph, MI 49085 Phone: 269-982-7200 Fax: 269-982-0202
Krista Matthews, TLLP, LLPC Psychologist Medicare: Medicare Enrolled Practice Location: 1030 Miners Rd, Saint Joseph, MI 49085 Phone: 269-408-1688
Mr. William Andrew Schnell, MA LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 2517 Niles Ave, Saint Joseph, MI 49085 Phone: 269-983-1600 Fax: 269-983-7970
Mr. Andrew Thomas Katovsich, MA, LLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 903 Main St, Saint Joseph, MI 49085 Phone: 269-985-2000 Fax: 269-985-2002
Emily White, MA, TLLP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 830 Pleasant St, Saint Joseph, MI 49085 Phone: 269-983-3832
Dr. Andrew Paul Cheff, PSY.D. L.P. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 711 Pleasant St, Saint Joseph, MI 49085 Phone: 269-408-8474 Fax: 269-982-0202

Dr Bruce Patrick Hackworth, PHD - Medicare Psychologist in Saint Joseph, MI