Allyson Fairchild, MA in Bradenton, FL - Medicare Counselor Provider

Allyson Fairchild, MA is a medicare enrolled "Counselor - Mental Health" provider in Bradenton, Florida. Her current practice location is 9030 58th Dr E Ste 103, Bradenton, Florida. You can reach out to her office (for appointments etc.) via phone at (941) 567-5207.

Allyson Fairchild is licensed to practice in Florida (license number IMH20614) 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 1982320362.

Contact Information

	Allyson Fairchild, MA
	9030 58th Dr E Ste 103, Bradenton, FL 34202-6108
	(941) 567-5207
	(888) 769-9093

Map and Direction

Healthcare Provider's Profile

Full Name	Allyson Fairchild
Gender	Female
Speciality	Counselor - Mental Health
Location	9030 58th Dr E Ste 103, Bradenton, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1982320362
Provider Enumeration Date: 10/17/2022
Last Update Date: 10/17/2022

Medicare PECOS Information:

PECOS PAC ID: 2264879287
Enrollment ID: I20240326000744

Medical Identifiers

Medical identifiers for Allyson Fairchild such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1982320362	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	IMH20614 (Florida)	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. Allyson Fairchild allows following entities to bill medicare on her behalf.

Entity Name	Braden Counseling Center Pc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1518026434 PECOS PAC ID: 4981706348 Enrollment ID: O20070305000034

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. Allyson Fairchild 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
Allyson Fairchild, MA 9030 58th Dr E Ste 103, Bradenton, FL 34202-6108 Ph: (941) 567-5207	Allyson Fairchild, MA 9030 58th Dr E Ste 103, Bradenton, FL 34202-6108 Ph: (941) 567-5207

Reviews and Comments

Counselor in Bradenton, FL

Lisa M Davis, L.M.H.C., PH.D. Counselor Medicare: Not Enrolled in Medicare Practice Location: 351 6th Ave W, Bradenton, FL 34205 Phone: 941-737-8897
Jessica Lynn Gomez, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9030 58th Dr E, Bradenton, FL 34202 Phone: 941-567-6207
Mrs. Susan Tabicman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6400 Manatee Ave W, Bradenton, FL 34209 Phone: 941-704-9688
Mr. Nestor Levesque, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 379 6th Ave W, Bradenton, FL 34205 Phone: 941-782-4150 Fax: 941-782-4101
Mrs. Virginia D Whittington, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 2328 Manatee Ave W, Bradenton, FL 34205 Phone: 941-708-0896 Fax: 941-747-1696
Ms. Lorraine Ann Emmer, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 379 6th Ave W, Bradenton, FL 34205 Phone: 941-782-4100
Mrs. Halle Kranz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 239 301 Blvd W, Bradenton, FL 34205 Phone: 941-741-3023

Allyson Fairchild, MA - Medicare Counselor in Bradenton, FL