Benjamin H Fendrich, LCSW, CSAC is a medicare enrolled "Social Worker - Clinical" provider in Glendale, Wisconsin. His current practice location is
6915 N Milwaukee River Pkwy, Glendale, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 745-9889.
Benjamin H Fendrich is licensed to practice in Wisconsin (license number 9245) 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 1770242281.
Healthcare Provider's Profile
Full Name | Benjamin H Fendrich |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 6915 N Milwaukee River Pkwy, Glendale, Wisconsin |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1770242281
- Provider Enumeration Date: 12/12/2021
- Last Update Date: 05/12/2025
Medicare PECOS Information:
- PECOS PAC ID: 1557733581
- Enrollment ID: I20230220002596
Medical Identifiers
Medical identifiers for Benjamin H Fendrich such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770242281 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 9245 (Wisconsin) | Secondary |
1041C0700X | Social Worker - Clinical | 9245 (Wisconsin) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 16418 (Wisconsin) | Secondary |
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. Benjamin H Fendrich allows following entities to bill medicare on his behalf.
Entity Name | Cornerstone Counseling Services Sc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1033127246 PECOS PAC ID: 1456256023 Enrollment ID: O20031205000446 |
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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. Benjamin H Fendrich 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 |
Benjamin H Fendrich, LCSW, CSAC 6915 N Milwaukee River Pkwy, Glendale, WI 53209-2907 Ph: (414) 745-9889 | Benjamin H Fendrich, LCSW, CSAC 6915 N Milwaukee River Pkwy, Glendale, WI 53209-2907 Ph: (414) 745-9889 |
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