Tiffany Fannin, LISW, CDCA in Reynoldsburg, OH - Medicare Social Worker Provider

Tiffany Fannin, LISW, CDCA is a medicare enrolled "Social Worker - Clinical" provider in Reynoldsburg, Ohio. Her current practice location is 6895 E Main St, Reynoldsburg, Ohio. You can reach out to her office (for appointments etc.) via phone at (614) 845-7500.

Tiffany Fannin is licensed to practice in * (Not Available) (license number ) 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 1609305226.

Contact Information

	Tiffany Fannin, LISW, CDCA
	6895 E Main St, Reynoldsburg, OH 43068-2289
	(614) 845-7500
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Tiffany Fannin
Gender	Female
Speciality	Social Worker - Clinical
Location	6895 E Main St, Reynoldsburg, Ohio
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1609305226
Provider Enumeration Date: 06/07/2017
Last Update Date: 03/30/2022

Medicare PECOS Information:

PECOS PAC ID: 4880081009
Enrollment ID: I20220418001842

Medical Identifiers

Medical identifiers for Tiffany Fannin such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1609305226	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	(* (Not Available))	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. Tiffany Fannin allows following entities to bill medicare on her behalf.

Entity Name	Lighthouse Behavioral Health Solutions, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1629560230 PECOS PAC ID: 4486089893 Enrollment ID: O20200113001896

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. Tiffany Fannin 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
Tiffany Fannin, LISW, CDCA 2989 Tree Bend Cir, Grove City, OH 43123-8263 Ph: (614) 832-0447	Tiffany Fannin, LISW, CDCA 6895 E Main St, Reynoldsburg, OH 43068-2289 Ph: (614) 845-7500

Reviews and Comments

Social Worker in Reynoldsburg, OH

Cheri Craft, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7618 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-772-5918
Mrs. Megan Kenny, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7654 Slate Ridge Blvd, Reynoldsburg, OH 43068 Phone: 614-626-2696
James Reed, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2020 Brice Rd Ste 110, Reynoldsburg, OH 43068 Phone: 614-706-0571
Laura I Davis-perry, LISW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 6810 East Main Street, Suite 201 - 4, Reynoldsburg, OH 43068 Phone: 614-357-0686
Megan Elizabeth Bozeman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 145 Windsor Dr, Reynoldsburg, OH 43068 Phone: 614-592-8792
Erica M Bankston, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 7185 E Main St Unit 333, Reynoldsburg, OH 43068 Phone: 614-367-5191 Fax: 614-522-3128
Mrs. Lottie J. Sullivan, LISW-S Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7467 East Main St. Suite 1, Reynoldsburg, OH 43068 Phone: 614-552-3979 Fax: 614-870-6855

Tiffany Fannin, LISW, CDCA - Medicare Clinical Social Worker in Reynoldsburg, OH