Edgar Tyrone Fritz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Oliver Springs, Tennessee. His current practice location is
209 Fritts Rd, Oliver Springs, Tennessee. You can reach out to his office (for appointments etc.) via phone at
(865) 765-3797.
Edgar Tyrone Fritz is licensed to practice in * (Not Available) (license number ) 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 1417303157.
Healthcare Provider's Profile
Full Name | Edgar Tyrone Fritz |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 209 Fritts Rd, Oliver Springs, Tennessee |
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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: 1417303157
- Provider Enumeration Date: 05/12/2016
- Last Update Date: 10/29/2024
Medicare PECOS Information:
- PECOS PAC ID: 7012209224
- Enrollment ID: I20160708001029
Medical Identifiers
Medical identifiers for Edgar Tyrone Fritz such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417303157 | NPI | - | NPPES |
Q022498 | Medicaid | TN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | (* (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. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Edgar Tyrone Fritz allows following entities to bill medicare on his behalf.
Entity Name | Ridgeview Psychiatric Hospital & Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184659229 PECOS PAC ID: 4981691490 Enrollment ID: O20040611001335 |
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Entity Name | Love Without Walls Adult Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619440351 PECOS PAC ID: 1850627050 Enrollment ID: O20190725002234 |
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Entity Name | Wiser Way Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1124637442 PECOS PAC ID: 6800254657 Enrollment ID: O20230627000117 |
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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. Edgar Tyrone Fritz 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 |
Edgar Tyrone Fritz, LCSW 209 Fritts Rd, Oliver Springs, TN 37840-1225 Ph: (865) 765-3797 | Edgar Tyrone Fritz, LCSW 209 Fritts Rd, Oliver Springs, TN 37840-1225 Ph: (865) 765-3797 |
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