Angela E Glisson, MSW is a medicare enrolled "Counselor - Mental Health" provider in Fall River, Massachusetts. Her current practice location is
126 Cove St, Fall River, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 678-0041.
Angela E Glisson is licensed to practice in Massachusetts (license number 6408) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1710019682.
Healthcare Provider's Profile
| Full Name | Angela E Glisson |
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| Gender | Female |
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| Speciality | Counselor - Mental Health |
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| Location | 126 Cove St, Fall River, Massachusetts |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1710019682
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 08/16/2023
Medicare PECOS Information:
- PECOS PAC ID: 7911357520
- Enrollment ID: I20231222000652
Medical Identifiers
Medical identifiers for Angela E Glisson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1710019682 | NPI | - | NPPES |
| 685661 | Other | MA | TUFTS |
| M18708 | Other | MA | BLUE CROSS |
| 1312677 | Medicaid | MA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | 6408 (Massachusetts) | Primary |
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. Angela E Glisson allows following entities to bill medicare on her behalf.
| Entity Name | Northeast Health Services Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1225067481
PECOS PAC ID: 6901866706
Enrollment ID: O20041015000643 |
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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. Angela E Glisson 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 |
|---|
Angela E Glisson, MSW
90 Rowley St,
Swansea, MA 02777-4943
Ph: (781) 437-1323 | Angela E Glisson, MSW
126 Cove St,
Fall River, MA 02720-1357
Ph: (508) 678-0041 |
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