Mylinda Renee Fanj, MS, LPC (US) in Wagoner, OK

Mylinda Renee Fanj, MS, LPC (US) is a medicare enrolled "Counselor - Professional" provider in Wagoner, Oklahoma. Her current practice location is 109 S Harrill Ave, Wagoner, Oklahoma. You can reach out to her office (for appointments etc.) via phone at (918) 485-3554.

Mylinda Renee Fanj is licensed to practice in Oklahoma (license number (US) 966) 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 1255617015.

Contact Information

	Mylinda Renee Fanj, MS, LPC (US)
	109 S Harrill Ave, Wagoner, OK 74467-5317
	(918) 485-3554
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mylinda Renee Fanj
Gender	Female
Speciality	Counselor - Professional
Location	109 S Harrill Ave, Wagoner, Oklahoma
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1255617015
Provider Enumeration Date: 10/25/2011
Last Update Date: 10/25/2011

Medicare PECOS Information:

PECOS PAC ID: 3577906536
Enrollment ID: I20240206003942

Medical Identifiers

Medical identifiers for Mylinda Renee Fanj such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1255617015	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	(US) 966 (Oklahoma)	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. Mylinda Renee Fanj allows following entities to bill medicare on her behalf.

Entity Name	Community Pathways Unlimited Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1659328284 PECOS PAC ID: 6608776349 Enrollment ID: O20040109001005

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. Mylinda Renee Fanj 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
Mylinda Renee Fanj, MS, LPC (US) 109 S Harrill Ave, Wagoner, OK 74467-5317 Ph: (918) 485-3554	Mylinda Renee Fanj, MS, LPC (US) 109 S Harrill Ave, Wagoner, OK 74467-5317 Ph: (918) 485-3554

Reviews and Comments

Counselor in Wagoner, OK

James C Washington, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-5404 Fax: 918-485-8541
Carleen Noe, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-8404 Fax: 918-485-8541
Kamilah Scroggins, Counselor Medicare: Not Enrolled in Medicare Practice Location: 68512 S 310 Rd, Wagoner, OK 74467 Phone: 661-972-8815
Debra Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 301 Se 11th St, Wagoner, OK 74467 Phone: 918-485-8404 Fax: 918-485-8541
Tracy Lea Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S Harrill, Eri, Wagoner, OK 74467 Phone: 918-485-3554 Fax: 918-485-8371
Angelina C Hayes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2109 S Highway 69, Wagoner, OK 74467 Phone: 918-485-0242 Fax: 918-485-0204
Madison M Medlock, Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 S Harrill Ave, Wagoner, OK 74467 Phone: 918-485-0242 Fax: 918-485-0242

Mylinda Renee Fanj, MS, LPC (US) - Medicare Counselor in Wagoner, OK