Mrs Andrea Fresh, LCSW in Little Rock, AR - Medicare Counselor Provider

Mrs Andrea Fresh, LCSW is a medicare enrolled "Counselor - Mental Health" provider in Little Rock, Arkansas. Her current practice location is 1408 S Schiller St, Little Rock, Arkansas. You can reach out to her office (for appointments etc.) via phone at (501) 507-0675.

Mrs Andrea Fresh is licensed to practice in Arkansas (license number 2117-C) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1316190259.

Contact Information

	Mrs Andrea Fresh, LCSW
	1408 S Schiller St, Little Rock, AR 72202-5817
	(501) 507-0675
	(501) 421-0107

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Andrea Fresh
Gender	Female
Speciality	Counselor - Mental Health
Location	1408 S Schiller St, Little Rock, Arkansas
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1316190259
Provider Enumeration Date: 10/23/2008
Last Update Date: 11/30/2020

Medicare PECOS Information:

PECOS PAC ID: 5395014948
Enrollment ID: I20170713000601

Medical Identifiers

Medical identifiers for Mrs Andrea Fresh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1316190259	NPI	-	NPPES
180635526	Medicaid	AR

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	2117-C (Arkansas)	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. Mrs Andrea Fresh allows following entities to bill medicare on her behalf.

Entity Name	Arkansas Psychiatric Clinic Clinical Research Trials, Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548661200 PECOS PAC ID: 0345566238 Enrollment ID: O20150312001445

Entity Name	Collaborative Counseling Associates, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1922534882 PECOS PAC ID: 6507296084 Enrollment ID: O20200423003607

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. Mrs Andrea Fresh 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
Mrs Andrea Fresh, LCSW 1408 S Schiller St, Little Rock, AR 72202-5817 Ph: (501) 507-0675	Mrs Andrea Fresh, LCSW 1408 S Schiller St, Little Rock, AR 72202-5817 Ph: (501) 507-0675

Reviews and Comments

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Mrs Andrea Fresh, LCSW - Medicare Counselor in Little Rock, AR