Martha Fairley, LMHC, NCC in Colville, WA - Medicare Counselor Provider

Martha Fairley, LMHC, NCC is a medicare enrolled "Counselor - Mental Health" provider in Colville, Washington. Her current practice location is 165 E Hawthorne Ave, Colville, Washington. You can reach out to her office (for appointments etc.) via phone at (509) 684-4597.

Martha Fairley is licensed to practice in Washington (license number LH61182140) 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 1467981050.

Contact Information

	Martha Fairley, LMHC, NCC
	165 E Hawthorne Ave, Colville, WA 99114-2629
	(509) 684-4597
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Martha Fairley
Gender	Female
Speciality	Counselor - Mental Health
Location	165 E Hawthorne Ave, Colville, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1467981050
Provider Enumeration Date: 06/07/2017
Last Update Date: 07/16/2024

Medicare PECOS Information:

PECOS PAC ID: 2466899265
Enrollment ID: I20240327004008

Medical Identifiers

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

Identifier	Type	State	Issuer
1467981050	NPI	-	NPPES
MC60864281	Other	WA	WASHINGTON DEPARTMENT OF HEALTH
LPC-6745	Other	ID	IDAHO BUREAU OF OCCUPATIONAL LICENSES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LH61182140 (Washington)	Primary
101Y00000X	Counselor	MC60864281 (Washington)	Secondary
101YM0800X	Counselor - Mental Health	LPC-6745 (Idaho)	Secondary
101YM0800X	Counselor - Mental Health	MC60864281 (Washington)	Secondary

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. Martha Fairley allows following entities to bill medicare on her behalf.

Entity Name	Stevens County
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1891792966 PECOS PAC ID: 2466349394 Enrollment ID: O20040303001200

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. Martha 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
Martha Fairley, LMHC, NCC 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597	Martha Fairley, LMHC, NCC 165 E Hawthorne Ave, Colville, WA 99114-2629 Ph: (509) 684-4597

Reviews and Comments

Counselor in Colville, WA

Terry L Parrish, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597 Fax: 509-684-5286
Lizanne Stolworthy, M. ED., LMHC, DMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597
Laura S Johnson, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597
John A Michaelson, M.S. Counselor Medicare: Not Enrolled in Medicare Practice Location: 358 E Birch Ave, 101, Colville, WA 99114 Phone: 509-684-3200 Fax: 509-684-1908
Donna L Kraft, M ED, LMHC, DMHP Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597
Elizabeth Allene Mckellar, Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 E Hawthorne Ave, Colville, WA 99114 Phone: 509-684-4597
Rochelle Sundeen Diconti, LMHC, SUDP Counselor Medicare: Medicare Enrolled Practice Location: 110 S Main St, Colville, WA 99114 Phone: 509-903-5622

Martha Fairley, LMHC, NCC - Medicare Counselor in Colville, WA