Fairbank Counseling, Pllc - Medicare Mental Health Clinic in Polson, MT

Fairbank Counseling, Pllc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Polson, Montana. The current practice location for Fairbank Counseling, Pllc is 2 6th Ave E, Polson, Montana. For appointments, you can reach them via phone at (406) 214-3137. The mailing address for Fairbank Counseling, Pllc is Po Box 181, Polson, Montana and phone number is (406) 214-3137.

Fairbank Counseling, Pllc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1396410130. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (406) 214-3137.

Contact Information

Fairbank Counseling, Pllc
2 6th Ave E
Polson
MT 59860-2726
(406) 214-3137
Not Available

Mental Health Clinic Profile

Full NameFairbank Counseling, Pllc
SpecialitySocial Worker
Location2 6th Ave E, Polson, Montana
Authorized Official Name and PositionCoyote Fairbank (OWNER)
Authorized Official Contact4062143137
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Fairbank Counseling, Pllc
Po Box 181
Polson
MT 59860-0181

Ph: (406) 214-3137
Fairbank Counseling, Pllc
2 6th Ave E
Polson
MT 59860-2726

Ph: (406) 214-3137

NPI Details:

NPI Number1396410130
Provider Enumeration Date08/13/2021
Last Update Date08/13/2021
Certification Date08/13/2021

Medicare PECOS Information:

Medicare PECOS PAC ID0446642011
Medicare Enrollment IDO20220112001433

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Medical Identifiers

Medical identifiers for Fairbank Counseling, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396410130NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Fairbank Counseling, Pllc acts as a billing entity for following providers:
Provider NameCoyote Kyle Wayne Fairbank
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447783170
PECOS PAC ID: 4183901531
Enrollment ID: I20170511002801

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Provider NameShaina Lynn Fairbank
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164198826
PECOS PAC ID: 8426444217
Enrollment ID: I20220404001538

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