Michelle Harris, is a medicare enrolled "Social Worker - Clinical" provider in Randolph, Maine. Her current practice location is
9 Hillcrest Ave, Randolph, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 871-1200.
Michelle Harris is licensed to practice in Maine (license number MC17487) 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 1417420969.
Healthcare Provider's Profile
Full Name | Michelle Harris |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 9 Hillcrest Ave, Randolph, Maine |
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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: 1417420969
- Provider Enumeration Date: 01/08/2019
- Last Update Date: 01/08/2019
Medicare PECOS Information:
- PECOS PAC ID: 4981001203
- Enrollment ID: I20210928003729
Medical Identifiers
Medical identifiers for Michelle Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1417420969 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | MC17487 (Maine) | 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. Michelle Harris allows following entities to bill medicare on her behalf.
Entity Name | Spurwink Services Incorporated |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760507297 PECOS PAC ID: 7810026945 Enrollment ID: O20100527000272 |
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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. Michelle 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 |
Michelle Harris, 901 Washington Ave Ste 100, Portland, ME 04103-2842 Ph: (207) 871-1200 | Michelle Harris, 9 Hillcrest Ave, Randolph, ME 04346-5131 Ph: (207) 871-1200 |
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