Matthew Banach, LCSW in Fountain, CO - Medicare Social Worker Provider

Matthew Banach, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fountain, Colorado. His current practice location is 105 S Main St, Fountain, Colorado. You can reach out to his office (for appointments etc.) via phone at (719) 217-4609.

Matthew Banach is licensed to practice in Colorado (license number CSW.09925288) 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 1891255253.

Contact Information

	Matthew Banach, LCSW
	105 S Main St, Fountain, CO 80817-2215
	(719) 217-4609
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Matthew Banach
Gender	Male
Speciality	Social Worker - Clinical
Location	105 S Main St, Fountain, Colorado
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1891255253
Provider Enumeration Date: 03/21/2019
Last Update Date: 08/06/2024

Medicare PECOS Information:

PECOS PAC ID: 0244566057
Enrollment ID: I20190731000975

Medical Identifiers

Medical identifiers for Matthew Banach such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1891255253	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW.09925288 (Colorado)	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. Matthew Banach allows following entities to bill medicare on his behalf.

Entity Name	New Frontiers Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1194577098 PECOS PAC ID: 7517308422 Enrollment ID: O20240509001827

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. Matthew Banach 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
Matthew Banach, LCSW 105 S Main St, Fountain, CO 80817-2215 Ph: (719) 217-4609	Matthew Banach, LCSW 105 S Main St, Fountain, CO 80817-2215 Ph: (719) 217-4609

Reviews and Comments

Social Worker in Fountain, CO

Karen R Daugherty, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7330 Willowdale Dr, Fountain, CO 80817 Phone: 888-948-6789 Fax: 877-345-3501
Kelsea Gutknecht, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7513 Sandy Springs Pt, Fountain, CO 80817 Phone: 719-330-4619
Amanda Gabrielle Kacena, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 108 W Ohio Ave # B, Fountain, CO 80817 Phone: 719-695-0044
Andrea Darlene Ratcliff, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7788 Candlelight Ln, Fountain, CO 80817 Phone: 903-949-0550
Nadine Leonard, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 410 Crest St, Fountain, CO 80817 Phone: 719-433-2179

Matthew Banach, LCSW - Medicare Clinical Social Worker in Fountain, CO