Clarissa Amor Peralta, LCSW in Detroit, MI - Medicare Social Worker Provider

Clarissa Amor Peralta, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Detroit, Michigan. Her current practice location is 1700 Waterman St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (915) 613-7674.

Clarissa Amor Peralta is licensed to practice in Texas (license number 61113) 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 1104240688.

Contact Information

	Clarissa Amor Peralta, LCSW
	1700 Waterman St, Detroit, MI 48209-2022
	(915) 613-7674
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Clarissa Amor Peralta
Gender	Female
Speciality	Social Worker - Clinical
Location	1700 Waterman St, Detroit, Michigan
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104240688
Provider Enumeration Date: 02/05/2014
Last Update Date: 04/08/2021

Medicare PECOS Information:

PECOS PAC ID: 0042618571
Enrollment ID: I20211013001578

Medical Identifiers

Medical identifiers for Clarissa Amor Peralta such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104240688	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	61113 (Texas)	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. Clarissa Amor Peralta allows following entities to bill medicare on her behalf.

Entity Name	Bmsc Tx Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1215485198 PECOS PAC ID: 1052680949 Enrollment ID: O20170710000725

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. Clarissa Amor Peralta 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
Clarissa Amor Peralta, LCSW 1700 Waterman St, Detroit, MI 48209-2022 Ph: (915) 613-7674	Clarissa Amor Peralta, LCSW 1700 Waterman St, Detroit, MI 48209-2022 Ph: (915) 613-7674

Reviews and Comments

Social Worker in Detroit, MI

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Leslie Marie Wilson, LLBSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 19750 Burt Rd, Detroit, MI 48219 Phone: 313-531-2500
Chama Paulina Maweja, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12800 E Warren Ave, Detroit, MI 48215 Phone: 313-824-8000

Clarissa Amor Peralta, LCSW - Medicare Clinical Social Worker in Detroit, MI