Dr Leo F Fenzel Jr, PHD in Towson, MD - Medicare Psychologist Provider

Dr Leo F Fenzel Jr, PHD is a medicare enrolled "Psychologist" provider in Towson, Maryland. His current practice location is 28 Allegheny Ave, Suite 1208, Towson, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 617-2640.

Dr Leo F Fenzel Jr is licensed to practice in Maryland (license number 02810) 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 1124106000.

Contact Information

	Dr Leo F Fenzel Jr, PHD
	28 Allegheny Ave, Suite 1208, Towson, MD 21204-3909
	(410) 617-2640
	(410) 617-5097

Map and Direction

Healthcare Provider's Profile

Full Name	Dr Leo F Fenzel Jr
Gender	Male
Speciality	Psychologist
Location	28 Allegheny Ave, Towson, Maryland
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124106000
Provider Enumeration Date: 11/01/2006
Last Update Date: 07/08/2007

Medicare PECOS Information:

PECOS PAC ID: 7315277951
Enrollment ID: I20190925001761

Medical Identifiers

Medical identifiers for Dr Leo F Fenzel Jr such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124106000	NPI	-	NPPES
02810	Other	MD	PSYCHOLOGIST LICENSE

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
103T00000X	Psychologist	02810 (Maryland)	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. Dr Leo F Fenzel Jr allows following entities to bill medicare on his behalf.

Entity Name	Safe Harbor Behavioral Care Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242

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. Dr Leo F Fenzel Jr 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
Dr Leo F Fenzel Jr, PHD 28 Allegheny Ave, Suite 1208, Towson, MD 21204-3909 Ph: (410) 617-2640	Dr Leo F Fenzel Jr, PHD 28 Allegheny Ave, Suite 1208, Towson, MD 21204-3909 Ph: (410) 617-2640

Reviews and Comments

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Dr Leo F Fenzel Jr, PHD - Medicare Psychologist in Towson, MD