Mrs Kristin Nicole Fearon, LCSW in Boulder, MT - Medicare Social Worker Provider

Mrs Kristin Nicole Fearon, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boulder, Montana. Her current practice location is 105 Venture Way, Boulder, Montana. You can reach out to her office (for appointments etc.) via phone at (406) 225-4610.

Mrs Kristin Nicole Fearon is licensed to practice in Montana (license number SWP-LCSW-LIC-7559) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1487029336.

Contact Information

	Mrs Kristin Nicole Fearon, LCSW
	105 Venture Way, Boulder, MT 59632
	(406) 225-4610
	(406) 225-3464

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kristin Nicole Fearon
Gender	Female
Speciality	Social Worker - Clinical
Location	105 Venture Way, Boulder, Montana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1487029336
Provider Enumeration Date: 12/03/2015
Last Update Date: 12/03/2015

Medicare PECOS Information:

PECOS PAC ID: 3971948001
Enrollment ID: I20240228004273

Medical Identifiers

Medical identifiers for Mrs Kristin Nicole Fearon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1487029336	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SWP-LCSW-LIC-7559 (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. Mrs Kristin Nicole Fearon allows following entities to bill medicare on her behalf.

Entity Name	Montana Childrens Home & Hospital
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1811056898 PECOS PAC ID: 0345259024 Enrollment ID: O20100406000278

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. Mrs Kristin Nicole Fearon 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
Mrs Kristin Nicole Fearon, LCSW Po Box 1088, 105 Venture Way, Boulder, MT 59632-1088 Ph: (406) 225-4610	Mrs Kristin Nicole Fearon, LCSW 105 Venture Way, Boulder, MT 59632 Ph: (406) 225-4610

Reviews and Comments

Social Worker in Boulder, MT

Abbi A Fetters, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 105 Venture Way, Boulder, MT 59632 Phone: 406-225-4617
Mrs. Wendie J. Vanderwater, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 110 Venture Way, Boulder, MT 59632 Phone: 406-225-4605 Fax: 406-225-3464
Mrs. Jeni E Leary, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 40 Hanging Wall Road, Boulder, MT 59632 Phone: 406-439-6786
Mrs. Jonina Kenison, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 308 S Centre St, Boulder, MT 59632 Phone: 850-368-4070

Mrs Kristin Nicole Fearon, LCSW - Medicare Clinical Social Worker in Boulder, MT