Allysa Fearnow-baurhenn, LMSW, CADC is a medicare enrolled "Social Worker - Clinical" provider in Mount Clemens, Michigan. Her current practice location is
18 Market St Ste C, Mount Clemens, Michigan. You can reach out to her office (for appointments etc.) via phone at
(586) 783-2222.
Allysa Fearnow-baurhenn is licensed to practice in Michigan (license number 6801109347) 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 1902211998.
Healthcare Provider's Profile
| Full Name | Allysa Fearnow-baurhenn |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 18 Market St Ste C, Mount Clemens, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1902211998
- Provider Enumeration Date: 06/27/2014
- Last Update Date: 03/23/2022
Medicare PECOS Information:
- PECOS PAC ID: 2961897160
- Enrollment ID: I20220325001472
Medical Identifiers
Medical identifiers for Allysa Fearnow-baurhenn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1902211998 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 6801109347 (Michigan) | 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. Allysa Fearnow-baurhenn allows following entities to bill medicare on her behalf.
| Entity Name | Mycare Health Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1265749683
PECOS PAC ID: 6406039403
Enrollment ID: O20110329000826 |
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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. Allysa Fearnow-baurhenn 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 |
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Allysa Fearnow-baurhenn, LMSW, CADC
6800 E 10 Mile Rd,
Center Line, MI 48015-1167
Ph: (586) 619-9986 | Allysa Fearnow-baurhenn, LMSW, CADC
18 Market St Ste C,
Mount Clemens, MI 48043-7403
Ph: (586) 783-2222 |
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