Jon Fader, LCAC, LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Jeffersonville, Indiana. He graduated from medical school in 2003 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. His current practice location is
1507 Spring St, Jeffersonville, Indiana. You can reach out to his office (for appointments etc.) via phone at
(407) 347-4536.
Jon Fader is licensed to practice in Indiana (license number 87000979A) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1821416967.
Healthcare Provider's Profile
| Full Name | Jon Fader |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 22 Years |
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| Location | 1507 Spring St, Jeffersonville, Indiana |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Jon Fader graduated from medical school in 2003
NPI Data:
- NPI Number: 1821416967
- Provider Enumeration Date: 04/05/2014
- Last Update Date: 07/22/2025
Medicare PECOS Information:
- PECOS PAC ID: 4082037403
- Enrollment ID: I20250729000968
Medical Identifiers
Medical identifiers for Jon Fader such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1821416967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 34010187A (Indiana) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 87000979A (Indiana) | Primary |
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. Jon Fader 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 |
|---|
Jon Fader, LCAC, LCSW
1507 Spring St,
Jeffersonville, IN 47130-2939
Ph: (407) 347-4536 | Jon Fader, LCAC, LCSW
1507 Spring St,
Jeffersonville, IN 47130-2939
Ph: (407) 347-4536 |
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