Mr Kevin L Hackworth, MA, LPC, LLP is a medicare enrolled "Counselor - Mental Health" provider in Fremont, Michigan. 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 does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1265980395.
Healthcare Provider's Profile
Full Name | Mr Kevin L Hackworth |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 37 E Main St Ste G, Fremont, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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 |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1922502970 PECOS PAC ID: 2163873647 Enrollment ID: O20240109002825 |
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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. 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 |
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