Holly Jean Harris, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Saint Helen, Michigan. Her current practice location is
6526 Clearbrook Dr, Saint Helen, Michigan. You can reach out to her office (for appointments etc.) via phone at
(989) 372-4346.
Holly Jean Harris is licensed to practice in Michigan (license number 6801088117) 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 1427113778.
Healthcare Provider's Profile
Full Name | Holly Jean Harris |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 6526 Clearbrook Dr, Saint Helen, Michigan |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1427113778
- Provider Enumeration Date: 12/27/2006
- Last Update Date: 01/21/2024
Medicare PECOS Information:
- PECOS PAC ID: 4880725464
- Enrollment ID: I20100625000310
Medical Identifiers
Medical identifiers for Holly Jean Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1427113778 | NPI | - | NPPES |
1427113778 | Medicaid | MI | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801088117 (Michigan) | 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. Holly Jean Harris allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220824000871 |
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Entity Name | Balance Mental Health & Wellness Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1629797857 PECOS PAC ID: 2668847278 Enrollment ID: O20230413001275 |
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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. Holly Jean Harris 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 |
Holly Jean Harris, LMSW 6526 Clearbrook Dr, Saint Helen, MI 48656-9547 Ph: (989) 372-4346 | Holly Jean Harris, LMSW 6526 Clearbrook Dr, Saint Helen, MI 48656-9547 Ph: (989) 372-4346 |
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