Alyssa L Fagan-clark, LCSW in Phoenix, AZ - Medicare Social Worker Provider

Alyssa L Fagan-clark, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Phoenix, Arizona. Her current practice location is 20440 N 27th Ave, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (480) 882-4545.

Alyssa L Fagan-clark is licensed to practice in Arizona (license number LCSW-21945) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1154754943.

Contact Information

	Alyssa L Fagan-clark, LCSW
	20440 N 27th Ave, Phoenix, AZ 85027-3240
	(480) 882-4545
	(602) 910-2949

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa L Fagan-clark
Gender	Female
Speciality	Social Worker - Clinical
Location	20440 N 27th Ave, Phoenix, Arizona
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1154754943
Provider Enumeration Date: 08/15/2013
Last Update Date: 12/27/2023

Medicare PECOS Information:

PECOS PAC ID: 6901249713
Enrollment ID: I20240208003040

Medical Identifiers

Medical identifiers for Alyssa L Fagan-clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154754943	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	LCSW-21945 (Arizona)	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. Alyssa L Fagan-clark allows following entities to bill medicare on her behalf.

Entity Name	Neighborhood Outreach Access To Health
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1942518550 PECOS PAC ID: 3577743764 Enrollment ID: O20110204000504

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. Alyssa L Fagan-clark 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
Alyssa L Fagan-clark, LCSW 7500 N Dreamy Draw Dr Ste 145, Phoenix, AZ 85020-4668 Ph: (480) 886-2454	Alyssa L Fagan-clark, LCSW 20440 N 27th Ave, Phoenix, AZ 85027-3240 Ph: (480) 882-4545

Reviews and Comments

Social Worker in Phoenix, AZ

Lindsey Arendt, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 501 N 24th St, Phoenix, AZ 85008 Phone: 602-220-6345
Mrs. Solee R Cowley, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-0414 Fax: 602-933-4252
Jennifer M Santos, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1919 E Thomas Rd, Phoenix, AZ 85016 Phone: 602-933-1900 Fax: 602-933-0818
Mr. Josue Bustos, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1101 N Central Ave Ste 200, Phoenix, AZ 85004 Phone: 602-307-5330 Fax: 602-307-5021
Dominic Marco Miller, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3450 N 3rd St, Phoenix, AZ 85012 Phone: 602-265-8338
Ira Dressner, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9987 Fax: 888-343-2533
Ms. Liana Dressner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 34225 N 27th Dr, Building 5, Suite 138, Phoenix, AZ 85085 Phone: 623-523-9323 Fax: 888-343-2533

Alyssa L Fagan-clark, LCSW - Medicare Clinical Social Worker in Phoenix, AZ