Mrs Brynn Michelle Vawter, LCSW 119189 is a medicare enrolled "Social Worker - Clinical" provider in Fresno, California. Her current practice location is
4785 N 1st St, Fresno, California. You can reach out to her office (for appointments etc.) via phone at
(559) 448-4883.
Mrs Brynn Michelle Vawter is licensed to practice in California (license number 119189) 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 1568053809.
Healthcare Provider's Profile
| Full Name | Mrs Brynn Michelle Vawter |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4785 N 1st St, Fresno, California |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1568053809
- Provider Enumeration Date: 01/29/2021
- Last Update Date: 11/14/2023
Medicare PECOS Information:
- PECOS PAC ID: 6608210315
- Enrollment ID: I20240221003268
Medical Identifiers
Medical identifiers for Mrs Brynn Michelle Vawter such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1568053809 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 104184 (California) | Secondary |
| 1041C0700X | Social Worker - Clinical | 119189 (California) | 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 Brynn Michelle Vawter allows following entities to bill medicare on her behalf.
| Entity Name | Permanente Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1073606299
PECOS PAC ID: 8921910225
Enrollment ID: O20031104000710 |
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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. Mrs Brynn Michelle Vawter 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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Mrs Brynn Michelle Vawter, LCSW 119189
4785 N 1st St,
Fresno, CA 93726-0513
Ph: (559) 448-4883 | Mrs Brynn Michelle Vawter, LCSW 119189
4785 N 1st St,
Fresno, CA 93726-0513
Ph: (559) 448-4883 |
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