Heidi Jo Hathaway, PSYD, LP in Brooklyn Center, MN - Medicare Clinical Psychologist Provider

Heidi Jo Hathaway, PSYD, LP is a medicare enrolled "Psychologist - Clinical" provider in Brooklyn Center, Minnesota. She graduated from medical school in 1996 and has 28 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Associated Clinic Of Psychology Inc and her current practice location is 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 503-8560.

Heidi Jo Hathaway is licensed to practice in Minnesota (license number LP3930) 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 1780755256.

Contact Information

	Heidi Jo Hathaway, PSYD, LP
	6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430-2155
	(763) 503-8560
	(763) 503-8563

Map and Direction

Healthcare Provider's Profile

Full Name	Heidi Jo Hathaway
Gender	Female
Speciality	Clinical Psychologist
Experience	28 Years
Location	6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, Minnesota
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:

Heidi Jo Hathaway graduated from medical school in 1996

NPI Data:

NPI Number: 1780755256
Provider Enumeration Date: 11/13/2006
Last Update Date: 02/02/2023

Medicare PECOS Information:

PECOS PAC ID: 6204902240
Enrollment ID: I20080827000592

Medical Identifiers

Medical identifiers for Heidi Jo Hathaway such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1780755256	NPI	-	NPPES
123494	Other	MN	UCARE
61-34863	Other	MN	MEDICA
050385100	Medicaid	FM
11R21RE	Other	MN	BLUECROSSBLUESHIELD

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	LP3930 (Minnesota)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Associated Clinic Of Psychology Inc	0749171320	115

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. Heidi Jo Hathaway allows following entities to bill medicare on her behalf.

Entity Name	Nystrom & Associates Ltd
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396750188 PECOS PAC ID: 6406752492 Enrollment ID: O20031210000592

Entity Name	Associated Clinic Of Psychology Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588741292 PECOS PAC ID: 0749171320 Enrollment ID: O20040323000833

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. Heidi Jo 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
Heidi Jo Hathaway, PSYD, LP 4240 Park Glen Rd, St Louis Park, MN 55416-5427 Ph: (612) 925-6033	Heidi Jo Hathaway, PSYD, LP 6200 Shingle Creek Pkwy Ste 350, Brooklyn Center, MN 55430-2155 Ph: (763) 503-8560

Reviews and Comments

Psychologist in Brooklyn Center, MN

Marilyn Reichman, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 570l Shingle Creek Pkwy, Suite 500, Brooklyn Center, MN 55430 Phone: 763-503-3981
Dr. Bruce Lee Bakke, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3300 County Road 10, Suite 500, Brooklyn Center, MN 55429 Phone: 763-560-8331 Fax: 763-560-8431
Dr. Diane Kay Felton, PHD, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6120 Earle Brown Dr, Suite 520, Brooklyn Center, MN 55430 Phone: 763-531-0566 Fax: 763-531-0602
Maggie Elizabeth Bania, LP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 7054 Brooklyn Blvd, Brooklyn Center, MN 55429 Phone: 763-560-9610
Mr. Thomas Paul Mills, MA, LPP Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6120 Earle Brown Dr, Suite 200, Brooklyn Center, MN 55430 Phone: 763-566-0088 Fax: 763-566-0089
Miss Constance Marie Dummer, LP, LMFT, RPT-S Psychologist Medicare: Not Enrolled in Medicare Practice Location: 6120 Earle Brown Dr, Suite #200, Brooklyn Center, MN 55430 Phone: 763-566-0088 Fax: 763-566-0089
Toni R Collins, PHD Psychologist Medicare: Not Enrolled in Medicare Practice Location: 3300 Bass Lake Rd, Suite 400, Brooklyn Center, MN 55429 Phone: 612-596-0800

Heidi Jo Hathaway, PSYD, LP - Medicare Psychologist in Brooklyn Center, MN