Patty Hull, Lisw, Pllc - Medicare Mental Health Clinic in Fort Dodge, IA

Patty Hull, Lisw, Pllc is a medicare enrolled mental health clinic (Community/behavioral Health) in Fort Dodge, Iowa. The current practice location for Patty Hull, Lisw, Pllc is 1218 Central Ave, Fort Dodge, Iowa. For appointments, you can reach them via phone at (515) 574-9507. The mailing address for Patty Hull, Lisw, Pllc is 1218 Central Ave, Fort Dodge, Iowa and phone number is () -.

Patty Hull, Lisw, Pllc is licensed to practice in Iowa (license number 01447). The clinic also participates in the medicare program and its NPI number is 1497106785. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (515) 574-9507.

Contact Information

Patty Hull, Lisw, Pllc
1218 Central Ave
Fort Dodge
IA 50501-4246
(515) 574-9507
Not Available

Mental Health Clinic Profile

Full NamePatty Hull, Lisw, Pllc
SpecialityCommunity/Behavioral Health
Location1218 Central Ave, Fort Dodge, Iowa
Authorized Official Name and PositionPatricia T Hull (CLINICAL SOCIAL WORKER)
Authorized Official Contact5155749507
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Patty Hull, Lisw, Pllc
1218 Central Ave
Fort Dodge
IA 50501-4246

Ph: () -
Patty Hull, Lisw, Pllc
1218 Central Ave
Fort Dodge
IA 50501-4246

Ph: (515) 574-9507

NPI Details:

NPI Number1497106785
Provider Enumeration Date06/28/2016
Last Update Date06/28/2016

Medicare PECOS Information:

Medicare PECOS PAC ID8426346693
Medicare Enrollment IDO20161004002398

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Medical Identifiers

Medical identifiers for Patty Hull, Lisw, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497106785NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health 01447 (Iowa)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Patty Hull, Lisw, Pllc acts as a billing entity for following providers:
Provider NamePatricia T Hull
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1346320702
PECOS PAC ID: 6406022987
Enrollment ID: I20120104000875

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Community/Behavioral Health in Fort Dodge, IA

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Empowering Grounds Llc
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