Dr Christine A Fair, LPC, PHD is a medicare enrolled "Psychologist - Clinical" provider in Maumee, Ohio. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. Her current practice location is
2211 River Rd, Maumee, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 740-3052.
Dr Christine A Fair is licensed to practice in Ohio (license number 7294) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1194906958.
Healthcare Provider's Profile
| Full Name | Dr Christine A Fair |
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| Gender | Female |
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| Speciality | Clinical Psychologist |
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| Experience | 17 Years |
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| Location | 2211 River Rd, Maumee, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Christine A Fair graduated from medical school in 2007
NPI Data:
- NPI Number: 1194906958
- Provider Enumeration Date: 11/21/2007
- Last Update Date: 02/10/2023
Medicare PECOS Information:
- PECOS PAC ID: 3870651458
- Enrollment ID: I20160502002395
Medical Identifiers
Medical identifiers for Dr Christine A Fair such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1194906958 | NPI | - | NPPES |
| 0163573 | Medicaid | OH | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | LPC-12330 (Arizona) | Secondary |
| 103T00000X | Psychologist | 3985 (Arizona) | Secondary |
| 103TC0700X | Psychologist - Clinical | 1197 (Hawaii) | Secondary |
| 103TC0700X | Psychologist - Clinical | 7294 (Ohio) | 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. Dr Christine A Fair allows following entities to bill medicare on her behalf.
| Entity Name | Fair Clinical Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1053883439
PECOS PAC ID: 6507106366
Enrollment ID: O20190314001589 |
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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. Dr Christine A Fair 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 |
|---|
Dr Christine A Fair, LPC, PHD
2211 River Rd,
Maumee, OH 43537-3637
Ph: (419) 740-3052 | Dr Christine A Fair, LPC, PHD
2211 River Rd,
Maumee, OH 43537-3637
Ph: (419) 740-3052 |
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