Coyote Fairbank, LCSW in Polson, MT - Medicare Clinical Social Worker Provider

Coyote Fairbank, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Polson, Montana. He graduated from medical school in 2014 and has 10 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is 2 6th Ave E, Polson, Montana. You can reach out to his office (for appointments etc.) via phone at (406) 214-3137.

Coyote Fairbank is licensed to practice in Montana (license number BBH-LCSW-LIC-23635) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1447783170.

Contact Information

	Coyote Fairbank, LCSW
	2 6th Ave E, Polson, MT 59860-2726
	(406) 214-3137
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Coyote Fairbank
Gender	Male
Speciality	Clinical Social Worker
Experience	10 Years
Location	2 6th Ave E, Polson, Montana
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Coyote Fairbank graduated from medical school in 2014

NPI Data:

NPI Number: 1447783170
Provider Enumeration Date: 04/10/2017
Last Update Date: 11/27/2023

Medicare PECOS Information:

PECOS PAC ID: 4183901531
Enrollment ID: I20170511002801

Medical Identifiers

Medical identifiers for Coyote Fairbank such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1447783170	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	BBH-LCSW-LIC-23635 (Montana)	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. Coyote Fairbank allows following entities to bill medicare on his behalf.

Entity Name	Fairbank Counseling Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396410130 PECOS PAC ID: 0446642011 Enrollment ID: O20220112001433

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. Coyote Fairbank 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
Coyote Fairbank, LCSW Po Box 181, Polson, MT 59860-0181 Ph: (406) 214-3137	Coyote Fairbank, LCSW 2 6th Ave E, Polson, MT 59860-2726 Ph: (406) 214-3137

Reviews and Comments

Social Worker in Polson, MT

Amber Ann Hughes, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 4th Ave E, Polson, MT 59860 Phone: 406-412-6768
Sheila M Bell, M.S. LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 802 Main St Ste C, Polson, MT 59860 Phone: 406-883-7310 Fax: 406-883-7312
Dacia Lee Antiste-fisher, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5 4th Ave E, Polson, MT 59860 Phone: 406-745-3525 Fax: 406-745-3529
Erika Ann Weber, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: #5 4th Ave. E, Polson, MT 59860 Phone: 406-745-3525 Fax: 406-745-3529
Shaina Lynn Fairbank, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2 6th Ave E, Polson, MT 59860 Phone: 406-303-3564 Fax: 406-225-7989
Ms. Tracy Arnel Clairmont, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 310 1st St W, Polson, MT 59860 Phone: 406-871-8547
Darci D Jones, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 220 Main St, Polson, MT 59860 Phone: 406-212-7023 Fax: 844-762-3233

Coyote Fairbank, LCSW - Medicare Clinical Social Worker in Polson, MT