Mrs Doris Stacy Fair, LCPC in Havre De Grace, MD

Mrs Doris Stacy Fair, LCPC is a medicare enrolled "Counselor - Professional" provider in Havre De Grace, Maryland. Her current practice location is 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, Maryland. You can reach out to her office (for appointments etc.) via phone at (443) 843-8047.

Mrs Doris Stacy Fair is licensed to practice in Maryland (license number LC8876) 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 1659777225.

Contact Information

	Mrs Doris Stacy Fair, LCPC
	501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078
	(443) 843-8047
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Doris Stacy Fair
Gender	Female
Speciality	Counselor - Professional
Location	501 South Union Ave., Havre De Grace, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1659777225
Provider Enumeration Date: 11/10/2014
Last Update Date: 07/08/2019

Medicare PECOS Information:

PECOS PAC ID: 4880037225
Enrollment ID: I20240213001630

Medical Identifiers

Medical identifiers for Mrs Doris Stacy Fair such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1659777225	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LC8876 (Maryland)	Secondary
363A00000X	Physician Assistant	S0000060 (Maryland)	Secondary
101YP2500X	Counselor - Professional	LC8876 (Maryland)	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 Doris Stacy Fair allows following entities to bill medicare on her behalf.

Entity Name	Advantage Psychiatric Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1548742554 PECOS PAC ID: 2860732039 Enrollment ID: O20190326001310

Entity Name	Harford Crisis Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508334459 PECOS PAC ID: 6002726007 Enrollment ID: O20190424000345

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 Doris Stacy Fair 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 Doris Stacy Fair, LCPC 137 Linton Run Road, Port Deposit, MD 21904 Ph: (443) 907-8041	Mrs Doris Stacy Fair, LCPC 501 South Union Ave., Harford Memorial Hospital, Havre De Grace, MD 21078 Ph: (443) 843-8047

Reviews and Comments

Counselor in Havre De Grace, MD

Ms. Elizabeth Claire Ptak, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744 Fax: 410-939-8748
Kelly Bragg, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Vera Alice De Toledo-powell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Allison Rosales, Counselor Medicare: Medicare Enrolled Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Janna Steinberg, Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Keri Seitler, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744
Kami Thekla Procopio, CRC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 626 Revolution St, Havre De Grace, MD 21078 Phone: 410-939-8744

Mrs Doris Stacy Fair, LCPC - Medicare Counselor in Havre De Grace, MD