Jon Michael Faxon, LCSW in Santa Clara, CA - Medicare Counselor Provider

Jon Michael Faxon, LCSW is a medicare enrolled "Counselor - Professional" provider in Santa Clara, California. His current practice location is 3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, California. You can reach out to his office (for appointments etc.) via phone at (408) 569-2604.

Jon Michael Faxon is licensed to practice in California (license number LCSW CA 24839) 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 1023131869.

Contact Information

	Jon Michael Faxon, LCSW
	3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051
	(408) 569-2604
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jon Michael Faxon
Gender	Male
Speciality	Counselor - Professional
Location	3840 Homestead Road, Santa Clara, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1023131869
Provider Enumeration Date: 04/09/2007
Last Update Date: 01/14/2022

Medicare PECOS Information:

PECOS PAC ID: 2365753654
Enrollment ID: I20150612000191

Medical Identifiers

Medical identifiers for Jon Michael Faxon such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1023131869	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YP2500X	Counselor - Professional	LCSW CA 24839 (California)	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. Jon Michael Faxon allows following entities to bill medicare on his behalf.

Entity Name	Permanente Medical Group Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1073606299 PECOS PAC ID: 8921910225 Enrollment ID: O20031104000710

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. Jon Michael Faxon 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
Jon Michael Faxon, LCSW 18951 Fernbrook Ct, Saratoga, CA 95070-3424 Ph: (408) 569-2604	Jon Michael Faxon, LCSW 3840 Homestead Road, Kaiser Permanete -- Behavioral Health Center, Santa Clara, CA 95051 Ph: (408) 569-2604

Reviews and Comments

Counselor in Santa Clara, CA

Richard Grant Muir, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Rachel Lasky, Counselor Medicare: Not Enrolled in Medicare Practice Location: 700 Agnew Rd Apt 425, Santa Clara, CA 95054 Phone: 480-286-1192
Laura Daniela Martinez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Michelle Albanese Pettengill, ASW Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222
Stephanie Helen Schultze Ponce, Counselor Medicare: Medicare Enrolled Practice Location: 3840 Homestead Rd, Santa Clara, CA 95051 Phone: 408-851-4922
Daisy C Corral, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3490 The Alameda, Santa Clara, CA 95050 Phone: 408-243-0222

Jon Michael Faxon, LCSW - Medicare Counselor in Santa Clara, CA