Mrs Andrea Harte, LICSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Brockton, Massachusetts. Her current practice location is
30 Meadowbrook Rd, Brockton, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(508) 408-6126.
Mrs Andrea Harte is licensed to practice in Massachusetts (license number 1030338) 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 1215238464.
Healthcare Provider's Profile
Full Name | Mrs Andrea Harte |
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Gender | Female |
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Speciality | Counselor - Addiction (substance Use Disorder) |
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Location | 30 Meadowbrook Rd, Brockton, Massachusetts |
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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: 1215238464
- Provider Enumeration Date: 11/04/2010
- Last Update Date: 01/23/2017
Medicare PECOS Information:
- PECOS PAC ID: 7315963717
- Enrollment ID: I20051014000516
Medical Identifiers
Medical identifiers for Mrs Andrea Harte such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1215238464 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 1030338 (Massachusetts) | Secondary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 1030338 (Massachusetts) | Primary |
101YM0800X | Counselor - Mental Health | 1030338 (Massachusetts) | Secondary |
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. Mrs Andrea Harte allows following entities to bill medicare on her behalf.
Entity Name | Child And Family Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1912987181 PECOS PAC ID: 5991763823 Enrollment ID: O20041227000004 |
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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. Mrs Andrea Harte 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 |
Mrs Andrea Harte, LICSW 4 Richard Rd, Canton, MA 02021-3322 Ph: (617) 966-1972 | Mrs Andrea Harte, LICSW 30 Meadowbrook Rd, Brockton, MA 02301-7122 Ph: (508) 408-6126 |
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