Dr Paul Lentfer Pancner, PSYD is a medicare enrolled "Psychologist - Clinical" provider in Fort Wayne, Indiana. His current practice location is
2805 Fairfield Ave, Fort Wayne, Indiana. You can reach out to his office (for appointments etc.) via phone at
(260) 456-4880.
Dr Paul Lentfer Pancner is licensed to practice in Indiana (license number 99027535) 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 1265542856.
Healthcare Provider's Profile
Full Name | Dr Paul Lentfer Pancner |
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Gender | Male |
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Speciality | Psychologist - Clinical |
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Location | 2805 Fairfield Ave, Fort Wayne, Indiana |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1265542856
- Provider Enumeration Date: 08/30/2006
- Last Update Date: 07/10/2008
Medicare PECOS Information:
- PECOS PAC ID: 2961585310
- Enrollment ID: I20240102001544
Medical Identifiers
Medical identifiers for Dr Paul Lentfer Pancner such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1265542856 | NPI | - | NPPES |
100049440 | Medicaid | IN | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | 39000197A (Indiana) | Secondary |
106H00000X | Marriage & Family Therapist | 35000428A (Indiana) | Secondary |
103TC0700X | Psychologist - Clinical | 99027535 (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. Dr Paul Lentfer Pancner allows following entities to bill medicare on his behalf.
Entity Name | Pancner Psychiatric Associates, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1801019096 PECOS PAC ID: 4789615253 Enrollment ID: O20080208000000 |
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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 Paul Lentfer Pancner 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 |
Dr Paul Lentfer Pancner, PSYD 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 Ph: (260) 456-4880 | Dr Paul Lentfer Pancner, PSYD 2805 Fairfield Ave, Fort Wayne, IN 46807-1218 Ph: (260) 456-4880 |
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