Marisusan Fryant, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Middletown, Virginia. Her current practice location is
209 Greatland Farm Dr, Middletown, Virginia. You can reach out to her office (for appointments etc.) via phone at
(540) 878-0799.
Marisusan Fryant is licensed to practice in Virginia (license number 0904013738) 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 1164165502.
Healthcare Provider's Profile
Full Name | Marisusan Fryant |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 209 Greatland Farm Dr, Middletown, Virginia |
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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: 1164165502
- Provider Enumeration Date: 04/14/2022
- Last Update Date: 02/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 7719369032
- Enrollment ID: I20220803002733
Medical Identifiers
Medical identifiers for Marisusan Fryant such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1164165502 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C014883 (North Carolina) | Secondary |
1041C0700X | Social Worker - Clinical | 0904013738 (Virginia) | 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. Marisusan Fryant allows following entities to bill medicare on her behalf.
Entity Name | Silver Linings For Seniors, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1295124592 PECOS PAC ID: 6103137112 Enrollment ID: O20150617002087 |
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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. Marisusan Fryant 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 |
Marisusan Fryant, LCSW 209 Greatland Farm Dr, Middletown, VA 22645-3543 Ph: (540) 878-0799 | Marisusan Fryant, LCSW 209 Greatland Farm Dr, Middletown, VA 22645-3543 Ph: (540) 878-0799 |
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