Dr Michael Fanning, is a medicare enrolled "Psychologist - Clinical" provider in Palestine, Texas. He graduated from medical school in 2000 and has 25 years of diverse experience with area of expertise as Clinical Psychologist. He is a member of the group practice Alaniz Counseling And Behavioral Center Pc and his current practice location is
210 W Oak St, Palestine, Texas. You can reach out to his office (for appointments etc.) via phone at
(404) 734-6757.
Dr Michael Fanning is licensed to practice in Texas (license number 38300) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1790184638.
Healthcare Provider's Profile
| Full Name | Dr Michael Fanning |
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| Gender | Male |
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| Speciality | Clinical Psychologist |
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| Experience | 25 Years |
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| Location | 210 W Oak St, Palestine, Texas |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Dr Michael Fanning graduated from medical school in 2000
NPI Data:
- NPI Number: 1790184638
- Provider Enumeration Date: 08/15/2014
- Last Update Date: 03/27/2020
Medicare PECOS Information:
- PECOS PAC ID: 7810317260
- Enrollment ID: I20201023000995
Medical Identifiers
Medical identifiers for Dr Michael Fanning such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1790184638 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 103TC0700X | Psychologist - Clinical | 38300 (Texas) | Primary |
| 172A00000X | Driver | (* (Not Available)) | Secondary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Alaniz Counseling And Behavioral Center Pc | 0648596924 | 42 |
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 Michael Fanning allows following entities to bill medicare on his behalf.
| Entity Name | Alaniz Counseling And Behavioral Center Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811288731
PECOS PAC ID: 0648596924
Enrollment ID: O20150304000138 |
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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. Dr Michael Fanning 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 Michael Fanning,
9725 Decatur Dr,
Indianapolis, IN 46256-9656
Ph: (312) 656-5489 | Dr Michael Fanning,
210 W Oak St,
Palestine, TX 75801-2710
Ph: (404) 734-6757 |
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