Paul Douglas Fairbanks, LCPC / LPC in Rogersville, TN - Medicare Mental Health Counselor Provider

Paul Douglas Fairbanks, LCPC / LPC is a medicare enrolled "Counselor - Mental Health" provider in Rogersville, Tennessee. He graduated from healthcare school in 2014 and has 12 years of diverse experience with area of expertise as Mental Health Counselor. His current practice location is 1175 Old Highway 66, Rogersville, Tennessee. You can reach out to his office (for appointments etc.) via phone at (815) 566-0466.

Paul Douglas Fairbanks is licensed to practice in Arizona (license number LPC-23438) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1356748578.

Contact Information

	Paul Douglas Fairbanks, LCPC / LPC
	1175 Old Highway 66, Rogersville, TN 37857-5175
	(815) 566-0466
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Paul Douglas Fairbanks
Gender	Male
Speciality	Mental Health Counselor
Experience	12 Years
Location	1175 Old Highway 66, Rogersville, Tennessee
Accepts Medicare Assignments	May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Paul Douglas Fairbanks graduated from medical school in 2014

NPI Data:

NPI Number: 1356748578
Provider Enumeration Date: 12/03/2014
Last Update Date: 01/30/2026

Medicare PECOS Information:

PECOS PAC ID: 2769848738
Enrollment ID: I20250428002640

Medical Identifiers

Medical identifiers for Paul Douglas Fairbanks such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1356748578	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	LPC-23438 (Arizona)	Primary
101YP2500X	Counselor - Professional	180011693 (Illinois)	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. Paul Douglas Fairbanks allows following entities to bill medicare on his behalf.

Entity Name	Nexumhc Consultants, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1851082598 PECOS PAC ID: 5698134005 Enrollment ID: O20230703002100

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. Paul Douglas 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 Address	Practice Location Address
Paul Douglas Fairbanks, LCPC / LPC 1175 Old Highway 66, Rogersville, TN 37857-5175 Ph: (815) 566-0466	Paul Douglas Fairbanks, LCPC / LPC 1175 Old Highway 66, Rogersville, TN 37857-5175 Ph: (815) 566-0466

Reviews and Comments

Counselor in Rogersville, TN

Michaeline Nichole Harrison, MED Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Lena Dr, Rogersville, TN 37857 Phone: 423-272-9239 Fax: 423-272-1803
Ms. Felisa M Dunlap, LMFT Counselor Medicare: Not Enrolled in Medicare Practice Location: 101 Webb Rd, Rogersville, TN 37857 Phone: 423-218-9468 Fax: 833-523-2283
Melanie M Arpaio, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 207 E Washington St Ste 1, Rogersville, TN 37857 Phone: 423-500-5051
Brenda S Ford, LPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 101 Lena Dr, Rogersville, TN 37857 Phone: 423-272-9239 Fax: 423-467-3644
Gregory Mitchell Hurd, LPC, MHSP Counselor Medicare: May Accept Medicare Assignments Practice Location: 155 Race Track Rd, Rogersville, TN 37857 Phone: 423-327-0465
Christy Star Tunnell, M.S Counselor Medicare: Not Enrolled in Medicare Practice Location: 1019 Old Stage Rd, Rogersville, TN 37857 Phone: 423-923-7918

Paul Douglas Fairbanks, LCPC / LPC - Medicare Counselor in Rogersville, TN