Christopher Rane Faustin, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Canton, Georgia. His current practice location is
142 Spring Way Sq, Canton, Georgia. You can reach out to his office (for appointments etc.) via phone at
(814) 648-1438.
Christopher Rane Faustin is licensed to practice in Georgia (license number CSW007538) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1285211490.
Healthcare Provider's Profile
Full Name | Christopher Rane Faustin |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 142 Spring Way Sq, Canton, Georgia |
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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: 1285211490
- Provider Enumeration Date: 03/24/2021
- Last Update Date: 03/24/2021
Medicare PECOS Information:
- PECOS PAC ID: 8426457805
- Enrollment ID: I20210604002393
Medical Identifiers
Medical identifiers for Christopher Rane Faustin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1285211490 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | CSW007538 (Georgia) | Secondary |
101YM0800X | Counselor - Mental Health | CSW007538 (Georgia) | Secondary |
101YS0200X | Counselor - School | CSW007538 (Georgia) | Secondary |
103K00000X | Behavior Analyst | CSW007538 (Georgia) | Secondary |
103TM1800X | Psychologist - Intellectual & Developmental Disabilities | CSW007538 (Georgia) | Secondary |
104100000X | Social Worker | CSW007538 (Georgia) | Secondary |
1041S0200X | Social Worker - School | CSW007538 (Georgia) | Secondary |
261QD1600X | Clinic/center - Developmental Disabilities | CSW007538 (Georgia) | Secondary |
1041C0700X | Social Worker - Clinical | CSW007538 (Georgia) | 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. Christopher Rane Faustin allows following entities to bill medicare on his behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
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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. Christopher Rane Faustin 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 |
Christopher Rane Faustin, LMSW 142 Spring Way Sq, Canton, GA 30114-1229 Ph: () - | Christopher Rane Faustin, LMSW 142 Spring Way Sq, Canton, GA 30114-1229 Ph: (814) 648-1438 |
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