David Andrew Prouty, MSW in Fort Collins, CO - Medicare Social Worker Provider

David Andrew Prouty, MSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Collins, Colorado. His current practice location is 1024 S Lemay Ave, Fort Collins, Colorado. You can reach out to his office (for appointments etc.) via phone at (970) 495-8020.

David Andrew Prouty is licensed to practice in Oregon (license number L5887) 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 1316224652.

Contact Information

	David Andrew Prouty, MSW
	1024 S Lemay Ave, Fort Collins, CO 80524-3929
	(970) 495-8020
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	David Andrew Prouty
Gender	Male
Speciality	Social Worker - Clinical
Location	1024 S Lemay Ave, Fort Collins, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316224652
Provider Enumeration Date: 11/15/2011
Last Update Date: 12/20/2022

Medicare PECOS Information:

PECOS PAC ID: 8426292509
Enrollment ID: I20230105000121

Medical Identifiers

Medical identifiers for David Andrew Prouty such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316224652	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Secondary
1041C0700X	Social Worker - Clinical	L5887 (Oregon)	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. David Andrew Prouty allows following entities to bill medicare on his behalf.

Entity Name	Poudre Valley Medical Group Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1366763260 PECOS PAC ID: 9638208549 Enrollment ID: O20100602000122

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. David Andrew Prouty 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
David Andrew Prouty, MSW 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (970) 495-8020	David Andrew Prouty, MSW 1024 S Lemay Ave, Fort Collins, CO 80524-3929 Ph: (970) 495-8020

David Andrew Prouty, MSW - Medicare Counselor in Fort Collins, CO