Keith Fendelander, in Punta Gorda, FL - Medicare Counselor Provider

Keith Fendelander, is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Punta Gorda, Florida. His current practice location is 1700 Education Ave, Punta Gorda, Florida. You can reach out to his office (for appointments etc.) via phone at (941) 639-8300.

Keith Fendelander is licensed to practice in * (Not Available) (license number ) 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 1578982369.

Contact Information

	Keith Fendelander,
	1700 Education Ave, Punta Gorda, FL 33950-6222
	(941) 639-8300
	(941) 347-6455

Map and Direction

Healthcare Provider's Profile

Full Name	Keith Fendelander
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	1700 Education Ave, Punta Gorda, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1578982369
Provider Enumeration Date: 04/09/2014
Last Update Date: 04/09/2014

Medicare PECOS Information:

PECOS PAC ID: 1557809985
Enrollment ID: I20240816002333

Medical Identifiers

Medical identifiers for Keith Fendelander such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1578982369	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	(* (Not Available))	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. Keith Fendelander allows following entities to bill medicare on his behalf.

Entity Name	Charlotte Behavioral Health Care Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1760460653 PECOS PAC ID: 4587649918 Enrollment ID: O20040621001195

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. Keith Fendelander 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
Keith Fendelander, 1700 Education Ave, Punta Gorda, FL 33950-6222 Ph: (941) 639-8300	Keith Fendelander, 1700 Education Ave, Punta Gorda, FL 33950-6222 Ph: (941) 639-8300

Reviews and Comments

Counselor in Punta Gorda, FL

Elizabeth Porfert, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 10033 Winding River Rd, Punta Gorda, FL 33950 Phone: 239-284-7164
Wade Warden, RMHCI, NCC Counselor Medicare: Medicare Enrolled Practice Location: 2186 Rio De Janeiro Ave, Punta Gorda, FL 33983 Phone: 941-249-3124
Ms. Deborah Burgess, MS, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 425 Cross St, 111, Punta Gorda, FL 33950 Phone: 941-505-6162 Fax: 941-505-8604
Mrs. Glenda Steffenhagen, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-639-8300 Fax: 941-639-6831
Marcia Rosman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-639-8300 Fax: 941-693-6831
Kimberly Sanderson, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1700 Education Ave, Punta Gorda, FL 33950 Phone: 941-539-8300 Fax: 941-639-6831
Alexandra Fichetti, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1196-j Rio De Janeiro. Ave, Punta Gorda, FL 33983 Phone: 631-235-0984

Keith Fendelander, - Medicare Counselor in Punta Gorda, FL