Laura E Fannon, PSYD INTERN in San Francisco, CA - Medicare Clinical Psychologist Provider

Laura E Fannon, PSYD INTERN is a medicare enrolled "Counselor - Mental Health" provider in San Francisco, California. She graduated from healthcare school in 2007 and has 17 years of diverse experience with area of expertise as Clinical Psychologist. She is a member of the group practice Petaluma Health Center Inc and her current practice location is 760 Harrison St, San Francisco, California. You can reach out to her office (for appointments etc.) via phone at (415) 836-1700.

Laura E Fannon is licensed to practice in * (Not Available) (license number ) 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 1720104615.

Contact Information

	Laura E Fannon, PSYD INTERN
	760 Harrison St, San Francisco, CA 94107-1235
	(415) 836-1700
	(415) 836-1737

Map and Direction

Healthcare Provider's Profile

Full Name	Laura E Fannon
Gender	Female
Speciality	Clinical Psychologist
Experience	17 Years
Location	760 Harrison St, San Francisco, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Laura E Fannon graduated from medical school in 2007

NPI Data:

NPI Number: 1720104615
Provider Enumeration Date: 03/22/2007
Last Update Date: 11/15/2019

Medicare PECOS Information:

PECOS PAC ID: 7214215706
Enrollment ID: I20161103002574

Medical Identifiers

Medical identifiers for Laura E Fannon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1720104615	NPI	-	NPPES
9942	Other		SFGH INTERNAL USE ONLY
9942	Other		CBHS INTERNAL USE ONLY-COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Petaluma Health Center Inc	9133180375	58

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. Laura E Fannon allows following entities to bill medicare on her behalf.

Entity Name	Petaluma Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1588656268 PECOS PAC ID: 9133180375 Enrollment ID: O20050315000415

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. Laura E Fannon 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
Laura E Fannon, PSYD INTERN 1179 N Mcdowell Blvd, Petaluma, CA 94954-6559 Ph: (707) 559-7500	Laura E Fannon, PSYD INTERN 760 Harrison St, San Francisco, CA 94107-1235 Ph: (415) 836-1700

Reviews and Comments

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David R Lanham, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1175 Howard St, San Francisco, CA 94103 Phone: 415-864-3057
Lydia Kay Borg, B.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 887 Potrero Ave, L-unit, San Francisco, CA 94110 Phone: 510-317-1444
Ms. Heather Marie Johnson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 150 9th St, San Francisco, CA 94103 Phone: 415-863-4582
Ms. Kathryn Ann Malone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Polk St, San Francisco, CA 94109 Phone: 415-292-2179

Laura E Fannon, PSYD INTERN - Medicare Counselor in San Francisco, CA