Theresa E Fry, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Aaronsburg, Pennsylvania. Her current practice location is
139 Tattletown Rd, Aaronsburg, Pennsylvania. You can reach out to her office (for appointments etc.) via phone at
(814) 280-1427.
Theresa E Fry is licensed to practice in Pennsylvania (license number CW018454) 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 1508167974.
Healthcare Provider's Profile
Full Name | Theresa E Fry |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 139 Tattletown Rd, Aaronsburg, Pennsylvania |
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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: 1508167974
- Provider Enumeration Date: 11/16/2010
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 2961728969
- Enrollment ID: I20150311000087
Medical Identifiers
Medical identifiers for Theresa E Fry such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508167974 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | CW018454 (Pennsylvania) | 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. Theresa E Fry allows following entities to bill medicare on her behalf.
Entity Name | T.w. Ponessa & Associates Counseling Services, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1053341859 PECOS PAC ID: 7810991924 Enrollment ID: O20071004000024 |
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Entity Name | Neighborhood Health Centers Of The Lehigh Valley |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1619106382 PECOS PAC ID: 2961537352 Enrollment ID: O20100526000092 |
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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. Theresa E Fry 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 |
Theresa E Fry, LCSW 139 Tattletown Rd, Aaronsburg, PA 16820-8900 Ph: (814) 280-1427 | Theresa E Fry, LCSW 139 Tattletown Rd, Aaronsburg, PA 16820-8900 Ph: (814) 280-1427 |
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