Mr Joseph Fairbanks, LPC, CEAP, NCC in Lake Geneva, WI

Mr Joseph Fairbanks, LPC, CEAP, NCC is a medicare enrolled "Counselor - Professional" provider in Lake Geneva, Wisconsin. His current practice location is 146 E Geneva Sq, Lake Geneva, Wisconsin. You can reach out to his office (for appointments etc.) via phone at (877) 666-7223.

Mr Joseph Fairbanks is licensed to practice in Wisconsin (license number 2954-125) 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 1073507067.

Contact Information

	Mr Joseph Fairbanks, LPC, CEAP, NCC
	146 E Geneva Sq, Lake Geneva, WI 53147-9694
	(877) 666-7223
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mr Joseph Fairbanks
Gender	Male
Speciality	Counselor - Professional
Location	146 E Geneva Sq, Lake Geneva, Wisconsin
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1073507067
Provider Enumeration Date: 09/06/2005
Last Update Date: 01/09/2024

Medicare PECOS Information:

PECOS PAC ID: 3577907666
Enrollment ID: I20240216001396

Medical Identifiers

Medical identifiers for Mr Joseph Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1073507067	NPI	-	NPPES
43561200	Medicaid	WI
2954-125	Other	WI	LICENSE #

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	2954-125 (Wisconsin)	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. Mr Joseph Fairbanks allows following entities to bill medicare on his behalf.

Entity Name	Aurora Medical Group, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725

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. Mr Joseph Fairbanks 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
Mr Joseph Fairbanks, LPC, CEAP, NCC 3301 W Forest Home Ave, Milwaukee, WI 53215-2843 Ph: () -	Mr Joseph Fairbanks, LPC, CEAP, NCC 146 E Geneva Sq, Lake Geneva, WI 53147-9694 Ph: (877) 666-7223

Reviews and Comments

Counselor in Lake Geneva, WI

Ms. Valarie Jo Lura, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: N3251 Queen Rd, Lake Geneva, WI 53147 Phone: 262-248-0626
Julie A Rice, LPC Counselor Medicare: Medicare Enrolled Practice Location: N2950 State Road 67, Lake Geneva, WI 53147 Phone: 800-637-2901
Irene Corzo, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 772 Main St, Suite 203, Lake Geneva, WI 53147 Phone: 847-890-1369
Jennifer Frye Keefe, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 166 E Geneva Sq, Lake Geneva, WI 53147 Phone: 262-249-0830 Fax: 262-249-0835
Matthew Banas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 750 Veterans Pkwy Unit 100, Lake Geneva, WI 53147 Phone: 262-248-7942
Meggan Kathleen Lazzaroni, APSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 647 W Main St Ste 700, Lake Geneva, WI 53147 Phone: 262-729-3143

Mr Joseph Fairbanks, LPC, CEAP, NCC - Medicare Counselor in Lake Geneva, WI