Dakota B Phelps, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Worth, Texas. Her current practice location is
3200 Sanguinet St, Fort Worth, Texas. You can reach out to her office (for appointments etc.) via phone at
(817) 255-2667.
Dakota B Phelps is licensed to practice in Texas (license number 103894) 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 1801385703.
Healthcare Provider's Profile
Full Name | Dakota B Phelps |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 3200 Sanguinet St, Fort Worth, Texas |
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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: 1801385703
- Provider Enumeration Date: 05/07/2018
- Last Update Date: 04/12/2024
Medicare PECOS Information:
- PECOS PAC ID: 9830539469
- Enrollment ID: I20240430003286
Medical Identifiers
Medical identifiers for Dakota B Phelps such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801385703 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 103894 (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. Dakota B Phelps allows following entities to bill medicare on her behalf.
Entity Name | Lena Pope Home, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1093856924 PECOS PAC ID: 0143230631 Enrollment ID: O20060427000714 |
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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. Dakota B Phelps 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 |
Dakota B Phelps, LCSW 145 Division St, Boyd, TX 76023-5301 Ph: (641) 420-9941 | Dakota B Phelps, LCSW 3200 Sanguinet St, Fort Worth, TX 76107-5355 Ph: (817) 255-2667 |
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