Georgina L Fiscus, MSW, LCSW | |
590 S. Ocotillo Ave., Benson, AZ 85602-6405 | |
(800) 586-7080 | |
(520) 586-3161 |
Full Name | Georgina L Fiscus |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 590 S. Ocotillo Ave., Benson, Arizona |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1780621862 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LCSW10635 (Arizona) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-10635 (Arizona) | Primary |
Entity Name | Southeastern Arizona Behavioral Health Services, Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760830137 PECOS PAC ID: 2860488368 Enrollment ID: O20040421000934 |
Mailing Address | Practice Location Address |
---|---|
Georgina L Fiscus, MSW, LCSW 611 W. Union St., Benson, AZ 85602 Ph: (520) 586-0800 | Georgina L Fiscus, MSW, LCSW 590 S. Ocotillo Ave., Benson, AZ 85602-6405 Ph: (800) 586-7080 |
Ronald E. Basil, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 S Ocotillo Ave, Benson, AZ 85602 Phone: 800-586-7080 Fax: 520-586-3163 | |
Mrs. Billie R. Peterson, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1052 S. Limestone St., Benson, AZ 85602 Phone: 520-955-3104 Fax: 520-586-3788 | |
Robin A. Toole, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 590 S Ocotillo Ave, Benson, AZ 85602 Phone: 800-586-7080 Fax: 520-586-3161 |