Mr Estafan Ns Farag, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Fort Myers, Florida. His current practice location is
2180 W 1st St, Suite 202, Fort Myers, Florida. You can reach out to his office (for appointments etc.) via phone at
(239) 332-8009.
Mr Estafan Ns Farag is licensed to practice in Florida (license number SW5839) 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 1740320050.
Healthcare Provider's Profile
Full Name | Mr Estafan Ns Farag |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 2180 W 1st St, Fort Myers, Florida |
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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: 1740320050
- Provider Enumeration Date: 02/07/2007
- Last Update Date: 09/08/2022
Medicare PECOS Information:
- PECOS PAC ID: 6406924430
- Enrollment ID: I20081003000684
Medical Identifiers
Medical identifiers for Mr Estafan Ns Farag such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1740320050 | NPI | - | NPPES |
764547300 | Medicaid | FL | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | SW 5839 (Florida) | Secondary |
101YM0800X | Counselor - Mental Health | SW5839 (Florida) | 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. Mr Estafan Ns Farag allows following entities to bill medicare on his behalf.
Entity Name | Mcr Health Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1255376000 PECOS PAC ID: 7214847995 Enrollment ID: O20040126000213 |
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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. Mr Estafan Ns Farag 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 |
Mr Estafan Ns Farag, LCSW 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 Ph: (239) 332-8009 | Mr Estafan Ns Farag, LCSW 2180 W 1st St, Suite 202, Fort Myers, FL 33901-3222 Ph: (239) 332-8009 |
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