Bethany Jane Frye, LCSW, LCDC is a medicare enrolled "Social Worker - Clinical" provider in Austin, Texas. Her current practice location is
5900 Balcones Dr Ste 100, Austin, Texas. You can reach out to her office (for appointments etc.) via phone at
(254) 231-5159.
Bethany Jane Frye is licensed to practice in Texas (license number 65041) 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 1255963955.
Healthcare Provider's Profile
| Full Name | Bethany Jane Frye |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5900 Balcones Dr Ste 100, Austin, Texas |
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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: 1255963955
- Provider Enumeration Date: 02/10/2020
- Last Update Date: 12/15/2022
Medicare PECOS Information:
- PECOS PAC ID: 6204277312
- Enrollment ID: I20240507002702
Medical Identifiers
Medical identifiers for Bethany Jane Frye such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1255963955 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | 65041 (Texas) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 15499 (Texas) | Secondary |
| 104100000X | Social Worker | 65041 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 65041 (Texas) | 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. Bethany Jane Frye allows following entities to bill medicare on her behalf.
| Entity Name | Deep Eddy Psychotherapy Management, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1457740862
PECOS PAC ID: 2264886936
Enrollment ID: O20230928002745 |
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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. Bethany Jane Frye 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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Bethany Jane Frye, LCSW, LCDC
5900 Balcones Dr Ste 100,
Austin, TX 78731-4298
Ph: (254) 231-1559 | Bethany Jane Frye, LCSW, LCDC
5900 Balcones Dr Ste 100,
Austin, TX 78731-4298
Ph: (254) 231-5159 |
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