Mrs Susan Michelle Fagan, LCSW in Wallingford, CT - Medicare Social Worker Provider

Mrs Susan Michelle Fagan, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Wallingford, Connecticut. Her current practice location is 185 Center Street Suite B, Wallingford, Connecticut. You can reach out to her office (for appointments etc.) via phone at (203) 284-3467.

Mrs Susan Michelle Fagan is licensed to practice in Connecticut (license number 006222) 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 1851594899.

Contact Information

	Mrs Susan Michelle Fagan, LCSW
	185 Center Street Suite B, Wallingford, CT 06492
	(203) 284-3467
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Susan Michelle Fagan
Gender	Female
Speciality	Social Worker - Clinical
Location	185 Center Street Suite B, Wallingford, Connecticut
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1851594899
Provider Enumeration Date: 06/07/2007
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 9032204748
Enrollment ID: I20070926000719

Medical Identifiers

Medical identifiers for Mrs Susan Michelle Fagan such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1851594899	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	006222 (Connecticut)	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. Mrs Susan Michelle Fagan allows following entities to bill medicare on her behalf.

Entity Name	Rhoda L Kreisman
Entity Type	Practitioner - Clinical Psychologist
Entity Identifiers	NPI Number: 1558479360 PECOS PAC ID: 7416028733 Enrollment ID: I20080613000458

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. Mrs Susan Michelle Fagan 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
Mrs Susan Michelle Fagan, LCSW 89 S Ridgeland Rd, Wallingford, CT 06492-2921 Ph: (203) 265-9998	Mrs Susan Michelle Fagan, LCSW 185 Center Street Suite B, Wallingford, CT 06492 Ph: (203) 284-3467

Reviews and Comments

Social Worker in Wallingford, CT

Irene Scanlon, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Gaylord Farm Rd, Wallingford, CT 06492 Phone: 203-741-3413
Ms. Melinda E. Sharpe, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 521 N Elm St, Wallingford, CT 06492 Phone: 203-284-0238 Fax: 203-284-0238
Delvin John Ramirez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 35 Thorpe Ave Ste 104, Wallingford, CT 06492 Phone: 860-460-2573
Amanda Papa, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 300 Church St Ste 105, Wallingford, CT 06492 Phone: 203-679-0849 Fax: 888-803-8363
Amanda Scholl, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 50 Gaylord Farm Rd, Wallingford, CT 06492 Phone: 203-284-2734
Michael Pasinski, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Mcnabola Ln, Wallingford, CT 06492 Phone: 203-589-7428
Ms. Judy Robin Kopman-fried, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 Yale Ave, Wallingford, CT 06492 Phone: 203-269-3488 Fax: 203-272-6163

Mrs Susan Michelle Fagan, LCSW - Medicare Clinical Social Worker in Wallingford, CT