Lacey Harris, in Detroit, MI - Medicare Social Worker Provider

Lacey Harris, is a medicare enrolled "Social Worker - Clinical" provider in Detroit, Michigan. Her current practice location is 79 W Alexandrine St, Detroit, Michigan. You can reach out to her office (for appointments etc.) via phone at (313) 831-5535.

Lacey Harris is licensed to practice in Michigan (license number 6801093499) 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 1265861199.

Contact Information

	Lacey Harris,
	79 W Alexandrine St, Detroit, MI 48201-2015
	(313) 831-5535
	(313) 831-2608

Map and Direction

Healthcare Provider's Profile

Full Name	Lacey Harris
Gender	Female
Speciality	Social Worker - Clinical
Location	79 W Alexandrine 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: 1265861199
Provider Enumeration Date: 11/01/2013
Last Update Date: 11/01/2013

Medicare PECOS Information:

PECOS PAC ID: 0345619094
Enrollment ID: I20221220000686

Medical Identifiers

Medical identifiers for Lacey Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265861199	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	6801093499 (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. Lacey Harris allows following entities to bill medicare on her behalf.

Entity Name	Imani Ya Kupinga
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1376280818 PECOS PAC ID: 4587033204 Enrollment ID: O20221219002478

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. Lacey 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
Lacey Harris, 79 W Alexandrine St, Detroit, MI 48201-2015 Ph: (517) 410-8360	Lacey Harris, 79 W Alexandrine St, Detroit, MI 48201-2015 Ph: (313) 831-5535

Reviews and Comments

Social Worker in Detroit, MI

Mary Decarolis, LMSW, ACSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 22101 Moross Rd, Detroit, MI 48236 Phone: 313-417-2769
Debbie Shell, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2051 W Grand Blvd, New Center Community Mental Health Services, Detroit, MI 48208 Phone: 313-961-3221
Leah Welton, MSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 79 W Alexandrine St, Detroit, MI 48201 Phone: 313-831-5535 Fax: 313-831-2608
Mrs. Sinita Hankins, LLMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17421 Telegraph Rd, Detroit, MI 48219 Phone: 313-531-2500
Yolonda Kinsey, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7310 Woodward Ave, Detroit, MI 48202 Phone: 313-896-1444
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

Lacey Harris, - Medicare Clinical Social Worker in Detroit, MI