Fidelity Behavioral Health LLC

PAC ID

4385127489The PECOS associate control ID: one enrolled organization, which may hold several NPIs

Provider type

Part B Supplier - Clinic/Group Practice

Enrolled in

CO

Enrollments

1

Group size

3 cliniciansAs Care Compare reports it

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice locations

1In 1 place

Enrollment records 1

These NPI records belong to the same enrolled organization. Each has its own page.

• Fidelity Behavioral Health LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Westminster, CO
  • NPI 1679330757
• Fidelity Behavioral Health LLC

  • Adult Mental Health Clinic/Center
  • Westminster, CO
  • NPI 1962202119

Clinicians who reassign their Medicare benefits to this group (3) or whom Care Compare lists as members (3).

• Elizabeth Ann Crew, LCSW, LAC

  • Clinical Social Worker
  • Denver, CO
  • NPI 1124268636
• Brandi C Fullmer, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lakewood, CO
  • NPI 1639841042
• Jayden Wiersma, LCSW

  • Clinical Social Worker
  • Englewood, CO
  • NPI 1841666195

• Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
• Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
• NPPES NPI Registry: the names and addresses of the NPIs above.