Indy Marie Fairbanks, - Medicare Counselor in Derby, KS

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Indy Marie Fairbanks, is a medicare enrolled "Social Worker - Clinical" provider in Derby, Kansas. She graduated from healthcare school in 2006 and has 20 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Tag Treatment Center Llc and her current practice location is 402 N River St Ste 200, Derby, Kansas. You can reach out to her office (for appointments etc.) via phone at (316) 409-0565.

Indy Marie Fairbanks is licensed to practice in Kansas (license number 4661) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1013267756.

Contact Information

Indy Marie Fairbanks,
402 N River St Ste 200,
Derby, KS 67037-1539
(316) 409-0565
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameIndy Marie Fairbanks
GenderFemale
SpecialityClinical Social Worker
Experience20 Years
Location402 N River St Ste 200, Derby, Kansas
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Indy Marie Fairbanks graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1013267756
  • Provider Enumeration Date: 09/10/2012
  • Last Update Date: 12/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 8729355573
  • Enrollment ID: I20170525002063

Medical Identifiers

Medical identifiers for Indy Marie Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1013267756NPI-NPPES
200964810AMedicaidKS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 647 (Kansas)Secondary
1041C0700XSocial Worker - Clinical 4661 (Kansas)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Tag Treatment Center Llc05476261787

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. Indy Marie Fairbanks allows following entities to bill medicare on her behalf.
Entity NameFour County Mental Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841290251
PECOS PAC ID: 7012904071
Enrollment ID: O20040430000887
Entity NameLife Anchor Counseling Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013604891
PECOS PAC ID: 9032574520
Enrollment ID: O20230505002243
Entity NameTag Treatment Center Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275011462
PECOS PAC ID: 0547626178
Enrollment ID: O20230523003105

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. Indy Marie Fairbanks 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 AddressPractice Location Address
Indy Marie Fairbanks,
215 E 9th Ave,
Belle Plaine, KS 67013-8823

Ph: (316) 633-3262		Indy Marie Fairbanks,
402 N River St Ste 200,
Derby, KS 67037-1539

Ph: (316) 409-0565

Reviews and Comments


Social Worker in Derby, KS


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.