Kristin Fasshauer, QMHP in Franklin Park, IL - Medicare Counselor Provider

Kristin Fasshauer, QMHP is a medicare enrolled "Counselor - Mental Health" provider in Franklin Park, Illinois. Her current practice location is 10001 Grand Ave Ste 1, Franklin Park, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 451-8303.

Kristin Fasshauer 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 1477119576.

Contact Information

	Kristin Fasshauer, QMHP
	10001 Grand Ave Ste 1, Franklin Park, IL 60131-2564
	(847) 451-8303
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Kristin Fasshauer
Gender	Female
Speciality	Counselor - Mental Health
Location	10001 Grand Ave Ste 1, Franklin Park, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1477119576
Provider Enumeration Date: 05/14/2019
Last Update Date: 05/14/2019

Medicare PECOS Information:

PECOS PAC ID: 6901322353
Enrollment ID: I20250429000720

Medical Identifiers

Medical identifiers for Kristin Fasshauer such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1477119576	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	(* (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. Kristin Fasshauer allows following entities to bill medicare on her behalf.

Entity Name	Leyden Family Service & Mental Health Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1043308943 PECOS PAC ID: 3274570569 Enrollment ID: O20050408000137

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. Kristin Fasshauer 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
Kristin Fasshauer, QMHP 10001 Grand Ave Ste 1, Franklin Park, IL 60131-2564 Ph: () -	Kristin Fasshauer, QMHP 10001 Grand Ave Ste 1, Franklin Park, IL 60131-2564 Ph: (847) 451-8303

Reviews and Comments

Counselor in Franklin Park, IL

Mrs. Vera Stewart, QMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 10200 Grand Ave, Franklin Park, IL 60131 Phone: 847-773-1536
Monica Richmond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10001 Grand Ave, Franklin Park, IL 60131 Phone: 847-451-0330
Miss Laura Stefany Diaz, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10001 Grand Ave, Franklin Park, IL 60131 Phone: 847-451-0330
Michael Gutierrez, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10001 Grand Ave, Franklin Park, IL 60131 Phone: 847-451-0330 Fax: 847-451-0761
Nina Marie Hart, Counselor Medicare: Not Enrolled in Medicare Practice Location: 10001 Grand Ave, Franklin Park, IL 60131 Phone: 847-451-0330
Elizabeth Villalobos, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2808 Elder Ln, Franklin Park, IL 60131 Phone: 847-209-6511
Christine M Nicholson, LSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 10001 Grand Ave, Franklin Park, IL 60131 Phone: 847-451-0330 Fax: 847-451-0761

Kristin Fasshauer, QMHP - Medicare Counselor in Franklin Park, IL