Christine Fay, LICSW, LADC I, CADC is a medicare enrolled "Social Worker - Clinical" provider in Dedham, Massachusetts. Her current practice location is
3 Allied Dr Ste 303, Dedham, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(617) 221-5131.
Christine Fay is licensed to practice in Massachusetts (license number 128678) 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 1235790643.
Healthcare Provider's Profile
| Full Name | Christine Fay |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3 Allied Dr Ste 303, Dedham, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1235790643
- Provider Enumeration Date: 06/26/2019
- Last Update Date: 02/17/2025
Medicare PECOS Information:
- PECOS PAC ID: 9931635521
- Enrollment ID: I20250204000344
Medical Identifiers
Medical identifiers for Christine Fay such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1235790643 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 22943 (Massachusetts) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1899AD (Massachusetts) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 128678 (Massachusetts) | Secondary |
| 1041C0700X | Social Worker - Clinical | 128678 (Massachusetts) | 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. Christine Fay allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225067481
PECOS PAC ID: 6901866706
Enrollment ID: O20041015000643 |
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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. Christine Fay 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 |
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Christine Fay, LICSW, LADC I, CADC
78 Lincoln St,
Dedham, MA 02026-3309
Ph: (781) 474-9423 | Christine Fay, LICSW, LADC I, CADC
3 Allied Dr Ste 303,
Dedham, MA 02026-6148
Ph: (617) 221-5131 |
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