Coral Fantasia, MSW, LCSW in Cedar Park, TX - Medicare Social Worker Provider

Coral Fantasia, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cedar Park, Texas. Her current practice location is 3000 Polar Ln Ste 101, Cedar Park, Texas. You can reach out to her office (for appointments etc.) via phone at (844) 824-8775.

Coral Fantasia is licensed to practice in Texas (license number 113615) 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 1114663945.

Contact Information

	Coral Fantasia, MSW, LCSW
	3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065
	(844) 824-8775
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Coral Fantasia
Gender	Female
Speciality	Social Worker - Clinical
Location	3000 Polar Ln Ste 101, Cedar Park, Texas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1114663945
Provider Enumeration Date: 05/05/2022
Last Update Date: 11/11/2024

Medicare PECOS Information:

PECOS PAC ID: 6709319395
Enrollment ID: I20241105000416

Medical Identifiers

Medical identifiers for Coral Fantasia such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1114663945	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	113615 (Texas)	Primary
1041C0700X	Social Worker - Clinical	IC-1932 (Nevada)	Secondary

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. Coral Fantasia allows following entities to bill medicare on her behalf.

Entity Name	Progressive Behavioral Health, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659567238 PECOS PAC ID: 4486794906 Enrollment ID: O20091214000763

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. Coral Fantasia 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
Coral Fantasia, MSW, LCSW 3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065 Ph: (844) 824-8775	Coral Fantasia, MSW, LCSW 3000 Polar Ln Ste 101, Cedar Park, TX 78613-3065 Ph: (844) 824-8775

Reviews and Comments

Social Worker in Cedar Park, TX

Macy Loera, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 921 W New Hope Dr Ste 504, Cedar Park, TX 78613 Phone: 737-497-1672
Abbey Christine Pelosi, LCSW-S Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 1603 Medical Pkwy Ste 320, Cedar Park, TX 78613 Phone: 512-827-8601 Fax: 512-872-5294
Nicole Elizabeth Garcia, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 12001 W Parmer Ln Ste 203b, Cedar Park, TX 78613 Phone: 512-593-7070
Kristina Leann Daugherty, LCSW, LCDC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2906 Appennini Cv, Cedar Park, TX 78613 Phone: 512-560-7018
Robin Fayvonne Johnson, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 930 S Bell Blvd, Cedar Park, TX 78613 Phone: 512-333-1458
Courtney Pataray, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3000 Polar Ln Ste 101, Cedar Park, TX 78613 Phone: 844-824-8775

Coral Fantasia, MSW, LCSW - Medicare Clinical Social Worker in Cedar Park, TX