Patrick J Chesebrough, LCAC in Fort Wayne, IN

Patrick J Chesebrough, LCAC is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Fort Wayne, Indiana. His current practice location is 4618 E State Blvd Ste 300, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at (260) 373-0213.

Patrick J Chesebrough is licensed to practice in Indiana (license number 87001654A) 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 1265001457.

Contact Information

	Patrick J Chesebrough, LCAC
	4618 E State Blvd Ste 300, Fort Wayne, IN 46815-6966
	(260) 373-0213
	(260) 373-0218

Map and Direction

Healthcare Provider's Profile

Full Name	Patrick J Chesebrough
Gender	Male
Speciality	Counselor - Addiction (substance Use Disorder)
Location	4618 E State Blvd Ste 300, Fort Wayne, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265001457
Provider Enumeration Date: 06/22/2021
Last Update Date: 06/22/2021

Medicare PECOS Information:

PECOS PAC ID: 2365885605
Enrollment ID: I20240203000331

Medical Identifiers

Medical identifiers for Patrick J Chesebrough such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265001457	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YA0400X	Counselor - Addiction (substance Use Disorder)	87001654A (Indiana)	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. Patrick J Chesebrough allows following entities to bill medicare on his behalf.

Entity Name	The Otis R Bowen Center For Human Services Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1639172810 PECOS PAC ID: 7618950965 Enrollment ID: O20050404000853

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. Patrick J Chesebrough 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
Patrick J Chesebrough, LCAC 4618 E State Blvd Ste 300, Fort Wayne, IN 46815-6966 Ph: (260) 373-0213	Patrick J Chesebrough, LCAC 4618 E State Blvd Ste 300, Fort Wayne, IN 46815-6966 Ph: (260) 373-0213

Reviews and Comments

Counselor in Fort Wayne, IN

Courtney Lesley Washington, Counselor Medicare: Accepting Medicare Assignments Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700
Alicia Jean Digiulio, MA, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 9417 Saint Joe Center Rd, Fort Wayne, IN 46835 Phone: 260-255-5289
Jennifer Perry, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 909 E State Blvd, Fort Wayne, IN 46805 Phone: 260-481-2700 Fax: 260-481-2709
Raphilla D Dixie, Counselor Medicare: Medicare Enrolled Practice Location: 3005 E State Blvd, Fort Wayne, IN 46805 Phone: 260-267-9498 Fax: 260-739-3618
Timothy Jay Hill, MSED Counselor Medicare: Not Enrolled in Medicare Practice Location: 2100 Goshen Rd, Fort Wayne, IN 46808 Phone: 260-471-3500
Rita Kay Self, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3010 E State Blvd, Fort Wayne, IN 46805 Phone: 260-471-2300 Fax: 260-471-2778
Rachida Bejja, MSED, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10828 Coldwater Rd, Fort Wayne, IN 46845 Phone: 260-415-8267 Fax: 260-426-0270

Patrick J Chesebrough, LCAC - Medicare Counselor in Fort Wayne, IN