Dr Janet Marie Fairbanks, MD is a medicare enrolled "Psychiatry & Neurology - Psychiatry" physician in Haworth, New Jersey. Her current practice location is
28 Prospect Ave, Haworth, New Jersey. You can reach out to her office (for appointments etc.) via phone at
(201) 384-2242.
Dr Janet Marie Fairbanks is licensed to practice in New Jersey (license number 25MA05059300) 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 1053567602.
Physician's Profile
| Full Name | Dr Janet Marie Fairbanks |
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| Gender | Female |
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| Speciality | Psychiatry & Neurology - Psychiatry |
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| Location | 28 Prospect Ave, Haworth, New Jersey |
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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: 1053567602
- Provider Enumeration Date: 08/14/2008
- Last Update Date: 08/14/2008
Medicare PECOS Information:
- PECOS PAC ID: 8123246824
- Enrollment ID: I20140821000983
Medical Identifiers
Medical identifiers for Dr Janet Marie Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1053567602 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA05059300 (New Jersey) | 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. Dr Janet Marie Fairbanks allows following entities to bill medicare on her behalf.
| Entity Name | Tenafly Psychiatric Associates Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1821063835
PECOS PAC ID: 1759345614
Enrollment ID: O20080923000505 |
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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. Dr Janet Marie 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 Address | Practice Location Address |
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Dr Janet Marie Fairbanks, MD
65 N Maple Ave Ste 302,
Ridgewood, NJ 07450-3233
Ph: (201) 384-2242 | Dr Janet Marie Fairbanks, MD
28 Prospect Ave,
Haworth, NJ 07641-1444
Ph: (201) 384-2242 |
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