Matt Fanning, MSW, LCSW in St. Louis, MO - Medicare Social Worker Provider

Matt Fanning, MSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in St. Louis, Missouri. His current practice location is 1 Brookings Drive, Seigle Hall, Ste 435, St. Louis, Missouri. You can reach out to his office (for appointments etc.) via phone at (314) 935-8457.

Matt Fanning is licensed to practice in Missouri (license number 2020022837) 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 1265043376.

Contact Information

	Matt Fanning, MSW, LCSW
	1 Brookings Drive, Seigle Hall, Ste 435, St. Louis, MO 63130-4889
	(314) 935-8457
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matt Fanning
Gender	Male
Speciality	Social Worker - Clinical
Location	1 Brookings Drive, St. Louis, Missouri
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265043376
Provider Enumeration Date: 08/12/2020
Last Update Date: 02/23/2022

Medicare PECOS Information:

PECOS PAC ID: 3274064670
Enrollment ID: I20241009000207

Medical Identifiers

Medical identifiers for Matt Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265043376	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	2020022837 (Missouri)	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. Matt Fanning allows following entities to bill medicare on his behalf.

Entity Name	St. Louis Behavioral Medicine Institute Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1487732335 PECOS PAC ID: 3173428638 Enrollment ID: O20031223000497

Entity Name	Vivent Health Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1982654091 PECOS PAC ID: 1052308376 Enrollment ID: O20190201002124

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. Matt Fanning 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
Matt Fanning, MSW, LCSW 4049 W Pine Blvd Apt 103, Saint Louis, MO 63108-3237 Ph: (314) 372-9738	Matt Fanning, MSW, LCSW 1 Brookings Drive, Seigle Hall, Ste 435, St. Louis, MO 63130-4889 Ph: (314) 935-8457

Reviews and Comments

Social Worker in St. Louis, MO

Mr. Eric Dean Lindhorst, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1066 Executive Parkway, Suite 103, St. Louis, MO 63141 Phone: 314-537-1391 Fax: 314-596-4627
Robyn Booker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Behavioral Health Response, 5501 Delmar Suite B300, St. Louis, MO 63112 Phone: 636-497-2983
Willie Howard Johnson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: Bjc Learning Institute, 8300 Eager Road 2nd Floor, St. Louis, MO 63144 Phone: 314-362-0983
Mrs. Mary Lynn Palombo, L.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: #1 Jefferson Barracks Drive, St. Louis, MO 63125 Phone: 314-894-6547
Ms. Shawn Alyssa Tobin, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 11456 Olive Blvd, Suite 210, St. Louis, MO 63141 Phone: 314-346-2745 Fax: 314-997-1365
Deborah R Meyerson, MA.ED/MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 929 Demun Ave, 929 Demun Ave, St. Louis, MO 63105 Phone: 314-721-5717 Fax: 314-721-3271
Ms. Martha Jane Fenger, MSW, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13431 Land O Woods Dr., St. Louis, MO 63141 Phone: 314-514-7749

Matt Fanning, MSW, LCSW - Medicare Clinical Social Worker in St. Louis, MO