Mr Victor D Harrell, LMSW, PA-C is a medicare enrolled "Physician Assistant - Medical" provider in Detroit, Michigan. His current practice location is
6001 W Outer Dr Ste 207, Detroit, Michigan. You can reach out to his office (for appointments etc.) via phone at
(313) 966-2800.
Mr Victor D Harrell is licensed to practice in Michigan (license number 5601009949) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1922409002.
Healthcare Provider's Profile
Full Name | Mr Victor D Harrell |
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Gender | Male |
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Speciality | Physician Assistant - Medical |
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Location | 6001 W Outer Dr Ste 207, Detroit, 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: 1922409002
- Provider Enumeration Date: 09/09/2014
- Last Update Date: 04/26/2022
Medicare PECOS Information:
- PECOS PAC ID: 2264762871
- Enrollment ID: I20190925000723
Medical Identifiers
Medical identifiers for Mr Victor D Harrell such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922409002 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801090790 (Michigan) | Secondary |
363AM0700X | Physician Assistant - Medical | 5601009949 (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. Mr Victor D Harrell allows following entities to bill medicare on his behalf.
Entity Name | Advanced Psychiatric Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1306252531 PECOS PAC ID: 8022234806 Enrollment ID: O20140731001141 |
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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. Mr Victor D Harrell 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 |
Mr Victor D Harrell, LMSW, PA-C 17566 Santa Rosa Dr, Detroit, MI 48221-2645 Ph: (313) 966-2800 | Mr Victor D Harrell, LMSW, PA-C 6001 W Outer Dr Ste 207, Detroit, MI 48235-2626 Ph: (313) 966-2800 |
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