Mr Roger A Coughlan, LCSW in Ft Collins, CO - Medicare Marriage & Family Therapist Provider

Mr Roger A Coughlan, LCSW is a medicare enrolled "Marriage & Family Therapist" provider in Ft Collins, Colorado. His current practice location is 760 Whalers Way, C-200, Ft Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 495-4851.

Mr Roger A Coughlan is licensed to practice in Colorado (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 1356335392.

Contact Information

	Mr Roger A Coughlan, LCSW
	760 Whalers Way, C-200, Ft Collins, CO 80525-3370
	(970) 495-4851
	(970) 204-7883

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Roger A Coughlan
Gender	Male
Speciality	Marriage & Family Therapist
Location	760 Whalers Way, Ft Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1356335392
Provider Enumeration Date: 09/06/2005
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 2567906712
Enrollment ID: I20240628003169

Medical Identifiers

Medical identifiers for Mr Roger A Coughlan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356335392	NPI	-	NPPES
986008	Other	CO	LICENSED SOCIAL WORKER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	986008 (Colorado)	Primary
106H00000X	Marriage & Family Therapist	(Colorado)	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 Roger A Coughlan allows following entities to bill medicare on his behalf.

Entity Name	Sondermind Provider Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210113002826

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 Roger A Coughlan 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 Roger A Coughlan, LCSW 760 Whalers Way, C-200, Ft Collins, CO 80525-3370 Ph: (970) 495-4851	Mr Roger A Coughlan, LCSW 760 Whalers Way, C-200, Ft Collins, CO 80525-3370 Ph: (970) 495-4851

Mr Roger A Coughlan, LCSW - Medicare in Ft Collins, CO