Lynda Lee Fenner, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Dayton, Ohio. She graduated from healthcare school in 2010 and has 15 years of diverse experience with area of expertise as Clinical Social Worker. Her current practice location is
601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc.,, Dayton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(937) 974-4825.
Lynda Lee Fenner is licensed to practice in Ohio (license number I.1302995-SUPV) 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 1063733012.
Healthcare Provider's Profile
| Full Name | Lynda Lee Fenner |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 15 Years |
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| Location | 601 S Edwin C Moses Blvd, Dayton, 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:
- Lynda Lee Fenner graduated from medical school in 2010
NPI Data:
- NPI Number: 1063733012
- Provider Enumeration Date: 06/14/2010
- Last Update Date: 09/25/2019
Medicare PECOS Information:
- PECOS PAC ID: 6002190097
- Enrollment ID: I20170718003237
Medical Identifiers
Medical identifiers for Lynda Lee Fenner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1063733012 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | S0020855 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1302995-SUPV (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. Lynda Lee Fenner allows following entities to bill medicare on her behalf.
| Entity Name | Access Ohio Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689763740
PECOS PAC ID: 4385899053
Enrollment ID: O20130612000051 |
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| Entity Name | Clearing Path's Therapeutic Services Ltd |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1043511975
PECOS PAC ID: 1951603158
Enrollment ID: O20160105002014 |
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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. Lynda Lee Fenner 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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Lynda Lee Fenner, LISW-S
601 S Edwin C Moses Blvd, Samaritan Behavioral Health Inc, 4th Floor Nw Bldg,
Dayton, OH 45417-3424
Ph: (937) 734-8333 | Lynda Lee Fenner, LISW-S
601 S Edwin C Moses Blvd, Samaritan Behavioral Health, Inc.,,
Dayton, OH 45417-3424
Ph: (937) 974-4825 |
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