Fayette Bhc Llc - Medicare Mental Health Clinic in Connersville, IN

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Fayette Bhc Llc is a medicare enrolled mental health clinic (Clinic/center - Mental Health (including Community Mental Health Center)) in Connersville, Indiana. The current practice location for Fayette Bhc Llc is 450 Erie Ave, Connersville, Indiana. For appointments, you can reach them via phone at (765) 827-8022. The mailing address for Fayette Bhc Llc is 450 Erie Ave, Connersville, Indiana and phone number is (765) 827-8022.

Fayette Bhc Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1669254546. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (765) 827-8022.

Contact Information

Fayette Bhc Llc
450 Erie Ave
Connersville
IN 47331-3176
(765) 827-8022
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameFayette Bhc Llc
SpecialityClinic/Center
Location450 Erie Ave, Connersville, Indiana
Authorized Official Name and PositionJessie Costley (DIRECTOR OF PROVIDER ENROLLMENT)
Authorized Official Contact4438396928
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fayette Bhc Llc
450 Erie Ave
Connersville
IN 47331-3176

Ph: (765) 827-8022		Fayette Bhc Llc
450 Erie Ave
Connersville
IN 47331-3176

Ph: (765) 827-8022

NPI Details:

NPI Number1669254546
Provider Enumeration Date10/16/2023
Last Update Date03/20/2024
Certification Date03/20/2024

Medicare PECOS Information:

Medicare PECOS PAC ID8426401548
Medicare Enrollment IDO20240125000624

Medical Identifiers

Medical identifiers for Fayette Bhc Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669254546NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Primary
363LF0000XNurse Practitioner - Family (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fayette Bhc Llc acts as a billing entity for following providers:
Provider NameVahid Osman
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1740264720
PECOS PAC ID: 2264409010
Enrollment ID: I20040913000512
Provider NameTia R Bowling
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1407280449
PECOS PAC ID: 2567699077
Enrollment ID: I20131207000134
Provider NameTina S Chavis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053795435
PECOS PAC ID: 2062727027
Enrollment ID: I20150819009165
Provider NameTimothy E Mcdivitt
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1477910982
PECOS PAC ID: 9931405420
Enrollment ID: I20160309001416
Provider NameKomal Wells
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023581220
PECOS PAC ID: 6901145747
Enrollment ID: I20190222000629
Provider NameRebekah Hunter
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1184406068
PECOS PAC ID: 8123462793
Enrollment ID: I20240222001234
Provider NameMegan Renee Fischer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1407594211
PECOS PAC ID: 5698110500
Enrollment ID: I20240301001849

Reviews and Comments

Clinic/Center in Connersville, IN

Creative Counseling Services
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 1956 Ohio Ave, Connersville, IN 47331
Phone: 765-827-5610    Fax: 765-825-9440
Creative Life Concepts Llc
Mental Health Clinic
Medicare: Not Enrolled in Medicare
Practice Location: 418 Ridge Rd, Connersville, IN 47331
Phone: 765-309-5510    

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.