Mrs Crystal Marie Harris, LCSW in Fort Bragg, CA - Medicare Clinical Social Worker Provider

Mrs Crystal Marie Harris, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Bragg, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mendocino Coast Clinics, Inc and her current practice location is 30750 Simpson Ln, Fort Bragg, California. You can reach out to her office (for appointments etc.) via phone at (970) 903-1761.

Mrs Crystal Marie Harris is licensed to practice in California (license number 101995) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083267165.

Contact Information

	Mrs Crystal Marie Harris, LCSW
	30750 Simpson Ln, Fort Bragg, CA 95437-7761
	(970) 903-1761
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Crystal Marie Harris
Gender	Female
Speciality	Clinical Social Worker
Experience	18 Years
Location	30750 Simpson Ln, Fort Bragg, California
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Crystal Marie Harris graduated from medical school in 2006

NPI Data:

NPI Number: 1083267165
Provider Enumeration Date: 07/18/2019
Last Update Date: 05/31/2023

Medicare PECOS Information:

PECOS PAC ID: 5991126005
Enrollment ID: I20210827003079

Medical Identifiers

Medical identifiers for Mrs Crystal Marie Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1083267165	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	.09924293 (Colorado)	Secondary
1041C0700X	Social Worker - Clinical	101995 (California)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Mendocino Coast Clinics, Inc	5991619157	15

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 Crystal Marie Harris allows following entities to bill medicare on her behalf.

Entity Name	Mendocino Coast Clinics, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1609595404 PECOS PAC ID: 5991619157 Enrollment ID: O20050512001033

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 Crystal Marie 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
Mrs Crystal Marie Harris, LCSW 30750 Simpson Ln, Fort Bragg, CA 95437-7761 Ph: (970) 903-1761	Mrs Crystal Marie Harris, LCSW 30750 Simpson Ln, Fort Bragg, CA 95437-7761 Ph: (970) 903-1761

Reviews and Comments

Social Worker in Fort Bragg, CA

Jessica Ehlers, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 32670 Highway 20 Unit 2, Fort Bragg, CA 95437 Phone: 707-964-1136
Mr. Richard William Jaulus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722
Ms. Mary Pat Palmer, M.A. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 S Main St, Fort Bragg, CA 95437 Phone: 707-964-4027 Fax: 707-964-9214
Ms. Rena Blauner, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-964-1251 Fax: 707-961-2722
Ms. Lynne Barbara Bornheim, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-961-4088
David Todd Stein, ASW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 205 South St, Fort Bragg, CA 95437 Phone: 707-961-4088 Fax: 707-964-4558

Mrs Crystal Marie Harris, LCSW - Medicare Clinical Social Worker in Fort Bragg, CA