Kirk D Fasshauer, LCSW in Bartow, FL - Medicare Social Worker Provider

Kirk D Fasshauer, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bartow, Florida. His current practice location is 1255 Golfview Ave, Bartow, Florida. You can reach out to his office (for appointments etc.) via phone at (863) 519-0575.

Kirk D Fasshauer is licensed to practice in Florida (license number SW15228) 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 1538240346.

Contact Information

	Kirk D Fasshauer, LCSW
	1255 Golfview Ave, Bartow, FL 33830-6736
	(863) 519-0575
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kirk D Fasshauer
Gender	Male
Speciality	Social Worker - Clinical
Location	1255 Golfview Ave, Bartow, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1538240346
Provider Enumeration Date: 10/18/2006
Last Update Date: 03/28/2018

Medicare PECOS Information:

PECOS PAC ID: 3678837275
Enrollment ID: I20180508000327

Medical Identifiers

Medical identifiers for Kirk D Fasshauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1538240346	NPI	-	NPPES
761955300	Medicaid	FL

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW15228 (Florida)	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. Kirk D Fasshauer allows following entities to bill medicare on his behalf.

Entity Name	Peace River Center For Personal Development Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821097767 PECOS PAC ID: 7719877927 Enrollment ID: O20040319000056

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. Kirk D Fasshauer 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
Kirk D Fasshauer, LCSW Po Box 1559, Bartow, FL 33831-1559 Ph: (863) 519-0575	Kirk D Fasshauer, LCSW 1255 Golfview Ave, Bartow, FL 33830-6736 Ph: (863) 519-0575

Reviews and Comments

Social Worker in Bartow, FL

Cynthia Roberts, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575
Michele Scordato, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 113 E Main St, #7, Bartow, FL 33830 Phone: 813-689-8828
Miss Angela M Jones, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1239 E Main St, Bartow, FL 33830 Phone: 863-519-0575 Fax: 863-582-9251
Kareyjean M Gordon-somers, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2778 Red Egret Dr, Bartow, FL 33830 Phone: 941-416-2613
Rosalind M Deangelis-tyre, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2155 Golden Meadow Way, Bartow, FL 33830 Phone: 386-397-4972
Carla Bordin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 113 E Main St, Bartow, FL 33830 Phone: 813-689-8828 Fax: 813-689-8802

Kirk D Fasshauer, LCSW - Medicare Clinical Social Worker in Bartow, FL