Mrs Timandra E Fawson, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in La Verkin, Utah. Her current practice location is
173 N 250 W, La Verkin, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 635-7174.
Mrs Timandra E Fawson is licensed to practice in Utah (license number 5901026-3902) 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 1326217704.
Healthcare Provider's Profile
Full Name | Mrs Timandra E Fawson |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 173 N 250 W, La Verkin, Utah |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1326217704
- Provider Enumeration Date: 02/29/2008
- Last Update Date: 02/29/2008
Medicare PECOS Information:
- PECOS PAC ID: 1759810625
- Enrollment ID: I20250123000452
Medical Identifiers
Medical identifiers for Mrs Timandra E Fawson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1326217704 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | 5901026-3902 (Utah) | 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. Mrs Timandra E Fawson allows following entities to bill medicare on her behalf.
Entity Name | Blue Chip Counseling, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1831760172 PECOS PAC ID: 8022547991 Enrollment ID: O20250122000387 |
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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. Mrs Timandra E Fawson 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 |
Mrs Timandra E Fawson, LMFT 173 N 250 W, La Verkin, UT 84745-5236 Ph: (435) 635-7174 | Mrs Timandra E Fawson, LMFT 173 N 250 W, La Verkin, UT 84745-5236 Ph: (435) 635-7174 |
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