Debra Fanning, LCPC in Canton, IL - Medicare Counselor Provider

Debra Fanning, LCPC is a medicare enrolled "Counselor - Professional" provider in Canton, Illinois. Her current practice location is 180 S Main St Fl 4, Canton, Illinois. You can reach out to her office (for appointments etc.) via phone at (309) 706-3190.

Debra Fanning is licensed to practice in Illinois (license number 180003689) 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 1699110742.

Contact Information

	Debra Fanning, LCPC
	180 S Main St Fl 4, Canton, IL 61520-2608
	(309) 706-3190
	(309) 588-4115

Map and Direction

Healthcare Provider's Profile

Full Name	Debra Fanning
Gender	Female
Speciality	Counselor - Professional
Location	180 S Main St Fl 4, Canton, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1699110742
Provider Enumeration Date: 05/02/2013
Last Update Date: 05/02/2013

Medicare PECOS Information:

PECOS PAC ID: 5698914091
Enrollment ID: I20240504000270

Medical Identifiers

Medical identifiers for Debra Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1699110742	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	180003689 (Illinois)	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. Debra Fanning allows following entities to bill medicare on her behalf.

Entity Name	Edgewood Clinical Services P.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1295914646 PECOS PAC ID: 3971963901 Enrollment ID: O20230721001228

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. Debra Fanning 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
Debra Fanning, LCPC Po Box 604, Bloomington, IL 61702-0604 Ph: (309) 706-3190	Debra Fanning, LCPC 180 S Main St Fl 4, Canton, IL 61520-2608 Ph: (309) 706-3190

Reviews and Comments

Counselor in Canton, IL

Miriam S Mindeman, M.A., L.P.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881
Mr. Nathan W Gates, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 S Main St, Suite 203, Canton, IL 61520 Phone: 309-740-2171 Fax: 309-740-2171
Mrs. Jacey L Downing, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 229 Martin Ave, Canton, IL 61520 Phone: 309-647-1881
Mrs. Jennifer J Bates, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 162 E Chestnut St, Suite C, Canton, IL 61520 Phone: 309-649-1660 Fax: 309-649-1660

Debra Fanning, LCPC - Medicare Counselor in Canton, IL