Mr Kevin L Hackworth, MA, LPC, LLP in Fremont, MI - Medicare Mental Health Counselor Provider

Mr Kevin L Hackworth, MA, LPC, LLP is a medicare enrolled "Counselor - Mental Health" provider in Fremont, Michigan. He graduated from medical school in 2016 and has 10 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is 37 E Main St Ste G, Fremont, Michigan. You can reach out to his office (for appointments etc.) via phone at (231) 233-1097.

Mr Kevin L Hackworth is licensed to practice in Michigan (license number 6401017843) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1265980395.

Contact Information

	Mr Kevin L Hackworth, MA, LPC, LLP
	37 E Main St Ste G, Fremont, MI 49412-1295
	(231) 233-1097
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Kevin L Hackworth
Gender	Male
Speciality	Mental Health Counselor
Experience	10 Years
Location	37 E Main St Ste G, Fremont, Michigan
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mr Kevin L Hackworth graduated from medical school in 2016

NPI Data:

NPI Number: 1265980395
Provider Enumeration Date: 09/19/2016
Last Update Date: 05/30/2023

Medicare PECOS Information:

PECOS PAC ID: 7517318090
Enrollment ID: I20240109002898

Medical Identifiers

Medical identifiers for Mr Kevin L Hackworth such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265980395	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103TC0700X	Psychologist - Clinical	6301016876 (Michigan)	Secondary
101YM0800X	Counselor - Mental Health	6401017843 (Michigan)	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. Mr Kevin L Hackworth allows following entities to bill medicare on his behalf.

Entity Name	Paladins Perspective
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922502970 PECOS PAC ID: 2163873647 Enrollment ID: O20240109002825

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. Mr Kevin L 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
Mr Kevin L Hackworth, MA, LPC, LLP 7322 Rolling Rd, Newaygo, MI 49337-8702 Ph: (231) 233-1097	Mr Kevin L Hackworth, MA, LPC, LLP 37 E Main St Ste G, Fremont, MI 49412-1295 Ph: (231) 233-1097

Mr Kevin L Hackworth, MA, LPC, LLP - Medicare in Fremont, MI