Mrs Trish Anne Brix-baskin, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Petal, Mississippi. Her current practice location is
36 Panther Stadium Dr, Petal, Mississippi. You can reach out to her office (for appointments etc.) via phone at
(601) 450-2144.
Mrs Trish Anne Brix-baskin is licensed to practice in Mississippi (license number C7923) 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 1316206519.
Healthcare Provider's Profile
Full Name | Mrs Trish Anne Brix-baskin |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 36 Panther Stadium Dr, Petal, Mississippi |
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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: 1316206519
- Provider Enumeration Date: 05/08/2012
- Last Update Date: 02/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 9234442609
- Enrollment ID: I20150715000485
Medical Identifiers
Medical identifiers for Mrs Trish Anne Brix-baskin such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316206519 | NPI | - | NPPES |
06955563 | Medicaid | MS | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | C7923 (Mississippi) | 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. Mrs Trish Anne Brix-baskin allows following entities to bill medicare on her behalf.
Entity Name | Southeast Mississippi Rural Health Initiative, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1184694036 PECOS PAC ID: 2466342605 Enrollment ID: O20040319000300 |
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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 Trish Anne Brix-baskin 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 Trish Anne Brix-baskin, LCSW Po Box 1729, Hattiesburg, MS 39403-1729 Ph: (601) 545-8700 | Mrs Trish Anne Brix-baskin, LCSW 36 Panther Stadium Dr, Petal, MS 39465-3632 Ph: (601) 450-2144 |
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