Earl H Faulkner, PHD is a medicare enrolled "Psychologist" provider in Fe Warren Afb, Wyoming. His current practice location is
6900 Alden Dr, Cheyenne, Wy, Fe Warren Afb, Wyoming. You can reach out to his office (for appointments etc.) via phone at
(307) 773-2998.
Earl H Faulkner is licensed to practice in Wyoming (license number PHD-419) 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 1578784377.
Healthcare Provider's Profile
| Full Name | Earl H Faulkner |
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| Gender | Male |
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| Speciality | Psychologist |
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| Location | 6900 Alden Dr, Fe Warren Afb, Wyoming |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1578784377
- Provider Enumeration Date: 05/01/2007
- Last Update Date: 06/08/2015
Medicare PECOS Information:
- PECOS PAC ID: 2062720196
- Enrollment ID: I20240403003598
Medical Identifiers
Medical identifiers for Earl H Faulkner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578784377 | NPI | - | NPPES |
| 122963000 | Medicaid | WY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | PHD-419 (Wyoming) | Secondary |
| 101YM0800X | Counselor - Mental Health | PHD-419 (Wyoming) | Secondary |
| 103T00000X | Psychologist | PHD-419 (Wyoming) | Primary |
| 103TA0400X | Psychologist - Addiction (substance Use Disorder) | PHD-419 (Wyoming) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | PHD-419 (Wyoming) | Secondary |
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. Earl H Faulkner allows following entities to bill medicare on his behalf.
| Entity Name | Family Care Center Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790141984
PECOS PAC ID: 5991064420
Enrollment ID: O20180109000960 |
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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. Earl H Faulkner 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 |
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Earl H Faulkner, PHD
6900 Alden Dr, Cheyenne, Wy,
Fe Warren Afb, WY 82005-3906
Ph: () - | Earl H Faulkner, PHD
6900 Alden Dr, Cheyenne, Wy,
Fe Warren Afb, WY 82005-3906
Ph: (307) 773-2998 |
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