Paul Douglas Fairbanks, LCPC / LPC - Medicare Counselor in Rogersville, TN

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Paul Douglas Fairbanks, LCPC / LPC is a medicare enrolled "Counselor - Mental Health" provider in Rogersville, Tennessee. His current practice location is 1175 Old Highway 66, Rogersville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (815) 566-0466.

Paul Douglas Fairbanks is licensed to practice in Arizona (license number LPC-23438) 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 1356748578.

Contact Information

Paul Douglas Fairbanks, LCPC / LPC
1175 Old Highway 66,
Rogersville, TN 37857-5175
(815) 566-0466
Not Available

Map and Direction


Healthcare Provider's Profile

Full NamePaul Douglas Fairbanks
GenderMale
SpecialityCounselor - Mental Health
Location1175 Old Highway 66, Rogersville, Tennessee
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1356748578
  • Provider Enumeration Date: 12/03/2014
  • Last Update Date: 01/30/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 2769848738
  • Enrollment ID: I20250428002640

Medical Identifiers

Medical identifiers for Paul Douglas Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1356748578NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health LPC-23438 (Arizona)Primary
101YP2500XCounselor - Professional 180011693 (Illinois)Secondary

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. Paul Douglas Fairbanks allows following entities to bill medicare on his behalf.
Entity NameIllinois Post-acute Medical Services 1 PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952830853
PECOS PAC ID: 6305112103
Enrollment ID: O20171023002483
Entity NameNV Pacs 2 LLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427534809
PECOS PAC ID: 0941550578
Enrollment ID: O20210804000886
Entity NameNexumhc Consultants, PLLC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851082598
PECOS PAC ID: 5698134005
Enrollment ID: O20230703002100
Entity NameJodi M Fourt
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376235184
PECOS PAC ID: 3072950773
Enrollment ID: O20240318000568
Entity NameCS Pacs 3 Il, S.C.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1598577124
PECOS PAC ID: 3577083278
Enrollment ID: O20250225002678

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. Paul Douglas Fairbanks 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 AddressPractice Location Address
Paul Douglas Fairbanks, LCPC / LPC
1175 Old Highway 66,
Rogersville, TN 37857-5175

Ph: (815) 566-0466		Paul Douglas Fairbanks, LCPC / LPC
1175 Old Highway 66,
Rogersville, TN 37857-5175

Ph: (815) 566-0466

Reviews and Comments


Counselor in Rogersville, TN

Michaeline Nichole Harrison, MED
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 101 Lena Dr, Rogersville, TN 37857
Phone: 423-272-9239    Fax: 423-272-1803
Ms. Felisa M Dunlap, LMFT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 101 Webb Rd, Rogersville, TN 37857
Phone: 423-218-9468    Fax: 833-523-2283
Melanie M Arpaio, MA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 207 E Washington St Ste 1, Rogersville, TN 37857
Phone: 423-500-5051    
Brenda S Ford, LPC
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 101 Lena Dr, Rogersville, TN 37857
Phone: 423-272-9239    Fax: 423-467-3644
Gregory Mitchell Hurd, LPC, MHSP
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 155 Race Track Rd, Rogersville, TN 37857
Phone: 423-327-0465    
Christy Star Tunnell, M.S
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1019 Old Stage Rd, Rogersville, TN 37857
Phone: 423-923-7918    
John V Crotty, LPC/ MHSP
Counselor
Medicare: Accepting Medicare Assignments
Practice Location: 101 Lena Dr, Rogersville, TN 37857
Phone: 423-272-9239    Fax: 423-272-1803

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.