Thomas Patrick Fowkes, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Havertown, Pennsylvania. His current practice location is
920 W Chester Pike, Havertown, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at
(610) 544-2110.
Thomas Patrick Fowkes is licensed to practice in Pennsylvania (license number CW021800) 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 1083095533.
Healthcare Provider's Profile
| Full Name | Thomas Patrick Fowkes |
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| Gender | Male |
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| Speciality | Social Worker - Clinical |
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| Location | 920 W Chester Pike, Havertown, Pennsylvania |
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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: 1083095533
- Provider Enumeration Date: 06/10/2015
- Last Update Date: 05/04/2023
Medicare PECOS Information:
- PECOS PAC ID: 7719344654
- Enrollment ID: I20230607002404
Medical Identifiers
Medical identifiers for Thomas Patrick Fowkes such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1083095533 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 123449 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | CW021800 (Pennsylvania) | 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. Thomas Patrick Fowkes allows following entities to bill medicare on his behalf.
| Entity Name | Springfield Psychological Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295705317
PECOS PAC ID: 1456322973
Enrollment ID: O20040805001143 |
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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. Thomas Patrick Fowkes 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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Thomas Patrick Fowkes, LCSW
920 W Chester Pike,
Havertown, PA 19083-4415
Ph: (610) 544-2110 | Thomas Patrick Fowkes, LCSW
920 W Chester Pike,
Havertown, PA 19083-4415
Ph: (610) 544-2110 |
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