Indy Marie Fairbanks, in Derby, KS - Medicare Clinical Social Worker Provider

Indy Marie Fairbanks, is a medicare enrolled "Social Worker - Clinical" provider in Derby, Kansas. She graduated from medical school in 2006 and has 19 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Tag Treatment Center Llc and her current practice location is 1221 N Rock Rd Ste 100, Derby, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 789-8511.

Indy Marie Fairbanks is licensed to practice in Kansas (license number 6309) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013267756.

Contact Information

	Indy Marie Fairbanks,
	1221 N Rock Rd Ste 100, Derby, KS 67037-3675
	(316) 789-8511
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Indy Marie Fairbanks
Gender	Female
Speciality	Clinical Social Worker
Experience	19 Years
Location	1221 N Rock Rd Ste 100, Derby, Kansas
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Indy Marie Fairbanks graduated from medical school in 2006

NPI Data:

NPI Number: 1013267756
Provider Enumeration Date: 09/10/2012
Last Update Date: 01/31/2023

Medicare PECOS Information:

PECOS PAC ID: 8729355573
Enrollment ID: I20170525002063

Medical Identifiers

Medical identifiers for Indy Marie Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1013267756	NPI	-	NPPES
200964810A	Medicaid	KS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6309 (Kansas)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Tag Treatment Center Llc	0547626178	7

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. Indy Marie Fairbanks allows following entities to bill medicare on her behalf.

Entity Name	Four County Mental Health Center Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1841290251 PECOS PAC ID: 7012904071 Enrollment ID: O20040430000887

Entity Name	Life Anchor Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1013604891 PECOS PAC ID: 9032574520 Enrollment ID: O20230505002243

Entity Name	Tag Treatment Center Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1275011462 PECOS PAC ID: 0547626178 Enrollment ID: O20230523003105

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. Indy 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
Indy Marie Fairbanks, 215 E 9th Ave, Belle Plaine, KS 67013-8823 Ph: (316) 633-3262	Indy Marie Fairbanks, 1221 N Rock Rd Ste 100, Derby, KS 67037-3675 Ph: (316) 789-8511

Reviews and Comments

Social Worker in Derby, KS

Mrs. Rhonda Newberry Hildreth, LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 N Baltimore Ave, Suite 1, Derby, KS 67037 Phone: 316-788-2200 Fax: 316-788-1514
Jarika Norwood, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1121 N College Park St Ste 700, Derby, KS 67037 Phone: 316-202-7445
Mrs. Catherine I Baker, LMSW LSCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 425 N Baltimore, Ste 1, Derby, KS 67037 Phone: 316-788-2200 Fax: 316-788-1514
Angela Mcghee, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1525 N Buckner St, Derby, KS 67037 Phone: 316-788-6464 Fax: 206-299-1262
Dr. Alicia M Landsverk, PHD, LSCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1721 E Osage Rd, Ste 300, Derby, KS 67037 Phone: 316-788-1907 Fax: 316-788-1941

Indy Marie Fairbanks, - Medicare Clinical Social Worker in Derby, KS