Lewis A. Fabrick, Phd, Pa - Medicare Mental Health Clinic in Gainesville, FL

Lewis A. Fabrick, Phd, Pa is a medicare enrolled mental health clinic (Social Worker - Clinical) in Gainesville, Florida. The current practice location for Lewis A. Fabrick, Phd, Pa is 2833 Nw 41st St Ste 140, Gainesville, Florida. For appointments, you can reach them via phone at (352) 338-0397. The mailing address for Lewis A. Fabrick, Phd, Pa is 2833 Nw 41st St Ste 140, Gainesville, Florida and phone number is (352) 338-0397.

Lewis A. Fabrick, Phd, Pa is licensed to practice in Florida (license number SW560). The clinic also participates in the medicare program and its NPI number is 1508252867. 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 (352) 338-0397.

Contact Information

Lewis A. Fabrick, Phd, Pa
2833 Nw 41st St Ste 140
Gainesville
FL 32606-6987
(352) 338-0397
(352) 372-6787

Mental Health Clinic Profile

Full NameLewis A. Fabrick, Phd, Pa
SpecialitySocial Worker
Location2833 Nw 41st St Ste 140, Gainesville, Florida
Authorized Official Name and PositionLewis A. Fabrick (OWNER)
Authorized Official Contact3523380397
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lewis A. Fabrick, Phd, Pa
2833 Nw 41st St Ste 140
Gainesville
FL 32606-6987

Ph: (352) 338-0397
Lewis A. Fabrick, Phd, Pa
2833 Nw 41st St Ste 140
Gainesville
FL 32606-6987

Ph: (352) 338-0397

NPI Details:

NPI Number1508252867
Provider Enumeration Date04/13/2015
Last Update Date06/03/2015

Medicare PECOS Information:

Medicare PECOS PAC ID7214240498
Medicare Enrollment IDO20150716002210

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Medical Identifiers

Medical identifiers for Lewis A. Fabrick, Phd, Pa such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508252867NPI-NPPES
Z0973AOtherFLMEDICARE PTAN
Z0937OtherFLBCBS

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical SW560 (Florida)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Lewis A. Fabrick, Phd, Pa acts as a billing entity for following providers:
Provider NameLewis A Fabrick
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1932108990
PECOS PAC ID: 5698712750
Enrollment ID: I20050411001177

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