Elena Maria Fairley, MS in Gulfport, MS - Medicare Counselor Provider

Elena Maria Fairley, MS is a medicare enrolled "Counselor" provider in Gulfport, Mississippi. Her current practice location is 11352 Mia Cir, Gulfport, Mississippi. You can reach out to her office (for appointments etc.) via phone at (228) 265-0755.

Elena Maria Fairley is licensed to practice in * (Not Available) (license number ) 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 1548471188.

Contact Information

	Elena Maria Fairley, MS
	11352 Mia Cir, Gulfport, MS 39503-3882
	(228) 265-0755
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Elena Maria Fairley
Gender	Female
Speciality	Counselor
Location	11352 Mia Cir, Gulfport, Mississippi
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1548471188
Provider Enumeration Date: 05/25/2007
Last Update Date: 02/04/2017

Medicare PECOS Information:

PECOS PAC ID: 4082064225
Enrollment ID: I20231229001178

Medical Identifiers

Medical identifiers for Elena Maria Fairley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1548471188	NPI	-	NPPES
00018214	Medicaid	MS

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101Y00000X	Counselor	(* (Not Available))	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. Elena Maria Fairley allows following entities to bill medicare on her behalf.

Entity Name	Thrive Counseling Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20210415001555

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. Elena Maria Fairley 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
Elena Maria Fairley, MS 11352 Mia Cir, Gulfport, MS 39503-3882 Ph: (228) 265-0755	Elena Maria Fairley, MS 11352 Mia Cir, Gulfport, MS 39503-3882 Ph: (228) 265-0755

Reviews and Comments

Counselor in Gulfport, MS

Mrs. Brenda Kay Crew, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 127 Gary St, Gulfport, MS 39503 Phone: 228-832-4495 Fax: 228-832-4495
Mrs. Ashira Windsor, MSW, LCSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 1601 30th Ave, Gulfport, MS 39501 Phone: 228-284-2644 Fax: 855-402-2013
Krystal Rice, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-213-5888 Fax: 228-575-3433
Christina Machelle Davis, P-LPC, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 2352 E Pass Rd, Gulfport, MS 39507 Phone: 228-284-2337 Fax: 228-284-2337
Cynthia Willett, PCMHT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132
Ms. Rita A Rademacher, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1600 Broad Ave, Gulfport, MS 39501 Phone: 228-863-1132 Fax: 228-865-1700
Olivia Vepley, Counselor Medicare: Not Enrolled in Medicare Practice Location: 417 Security Sq, Gulfport, MS 39507 Phone: 363-222-8206

Elena Maria Fairley, MS - Medicare Counselor in Gulfport, MS