Ms Charisse Cannady Fountain, LCSW in Coconut Creek, FL

Ms Charisse Cannady Fountain, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Coconut Creek, Florida. Her current practice location is 1503 Cayman Way, Unit E-1, Coconut Creek, Florida. You can reach out to her office (for appointments etc.) via phone at (352) 870-4675.

Ms Charisse Cannady Fountain is licensed to practice in Florida (license number SW9262) 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 1346827177.

Contact Information

	Ms Charisse Cannady Fountain, LCSW
	1503 Cayman Way, Unit E-1, Coconut Creek, FL 33066-1435
	(352) 870-4675
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Ms Charisse Cannady Fountain
Gender	Female
Speciality	Social Worker - Clinical
Location	1503 Cayman Way, Coconut Creek, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1346827177
Provider Enumeration Date: 03/26/2021
Last Update Date: 03/26/2021

Medicare PECOS Information:

PECOS PAC ID: 2466840129
Enrollment ID: I20211028002690

Medical Identifiers

Medical identifiers for Ms Charisse Cannady Fountain such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1346827177	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	SW9262 (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. Ms Charisse Cannady Fountain allows following entities to bill medicare on her behalf.

Entity Name	Mindy Staum Lcsw Pa
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083922561 PECOS PAC ID: 5890952998 Enrollment ID: O20120201000312

Entity Name	A & B Counseling Services Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1508327628 PECOS PAC ID: 6103152269 Enrollment ID: O20190726001094

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. Ms Charisse Cannady Fountain 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
Ms Charisse Cannady Fountain, LCSW 1503 Cayman Way, Unit E-1, Coconut Creek, FL 33066-1435 Ph: (352) 870-4675	Ms Charisse Cannady Fountain, LCSW 1503 Cayman Way, Unit E-1, Coconut Creek, FL 33066-1435 Ph: (352) 870-4675

Reviews and Comments

Social Worker in Coconut Creek, FL

Bryan T Aston Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5300 Nw 55th Blvd Apt 308, Coconut Creek, FL 33073 Phone: 917-485-9664
Cathy Sanchez, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5300 W Hillsboro Blvd Ste 103, Coconut Creek, FL 33073 Phone: 754-600-3399 Fax: 754-229-2547
Jenny Berger, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Nw 48th Ave, Coconut Creek, FL 33073 Phone: 800-736-3739
Erin Trepcyk, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5740 Nw 74th Pl, #101, Coconut Creek, FL 33073 Phone: 561-306-1292
Rose Shin, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2357 Nw 37th Ave, Coconut Creek, FL 33066 Phone: 305-434-6322
Dr. Heather Thompson, PHD, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1430 Nw 47th Ave, Coconut Creek, FL 33063 Phone: 786-841-2553
Mrs. Melissa Fabrikant, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4470 Nw 8th St, Coconut Creek, FL 33066 Phone: 954-806-7298

Ms Charisse Cannady Fountain, LCSW - Medicare Clinical Social Worker in Coconut Creek, FL