Lifelab Kids Foundation is a medicare enrolled "Behavior Analyst" provider in Ferndale, Michigan. Their current practice location is
3178 Hilton Rd, Ferndale, Michigan. You can reach out to their office (for appointments etc.) via phone at
(248) 629-4600.
Lifelab Kids Foundation is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Lifelab Kids Foundation
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1992286306.
Healthcare Provider's Profile
| Full Name | Lifelab Kids Foundation |
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| Type | Facility |
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| Speciality | Behavior Analyst |
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| Location | 3178 Hilton Rd, Ferndale, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1992286306
- Provider Enumeration Date: 08/23/2018
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 0648519769
- Enrollment ID: O20190306002687
Medical Identifiers
Medical identifiers for Lifelab Kids Foundation such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1992286306 | NPI | - | NPPES |
| MI17359 | Medicaid | MI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 225XM0800X | Occupational Therapist - Mental Health | (* (Not Available)) | Secondary |
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works.
Lifelab Kids Foundation acts as a billing entity for following providers:
| Provider Name | Jacqueline T Kwapisz |
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| Provider Type | Practitioner - Qualified Speech Language Pathologist |
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| Provider Identifiers | NPI Number: 1316654387
PECOS PAC ID: 4284070319
Enrollment ID: I20240312002682 |
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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. Lifelab Kids Foundation 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 |
|---|
Lifelab Kids Foundation
3178 Hilton Rd,
Ferndale, MI 48220-1059
Ph: (248) 629-4600 | Lifelab Kids Foundation
3178 Hilton Rd,
Ferndale, MI 48220-1059
Ph: (248) 629-4600 |
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