MR. PAUL BRIAN SEXTON LCSW
NPI 1265914428
Social Worker - Clinical in South Bend, IN
About Mr. Paul Brian Sexton Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. PAUL BRIAN SEXTON LCSW (NPI 1265914428) is an individual clinical provider in South Bend, Indiana, licensed in Wisconsin (9510-123) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Paul Brian Sexton Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH BEND, IN 46601
SOUTH BEND, IN 46601
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Paul Sexton's NPI number?
The NPI number for Paul Sexton is 1265914428. It was assigned to this individual provider in the NPPES registry on September 4, 2018.
Where is Paul Sexton located?
Paul Sexton practices at 621 Memorial Dr Ste 402, South Bend, IN 46601. The listed phone number is (574) 280-8199.
What is Paul Sexton's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Paul Sexton enrolled in Medicare?
Yes. Paul Sexton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
What insurance does Paul Sexton accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Paul Sexton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Paul Sexton was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
