Traci A Doran, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Johannesburg, Michigan. Her current practice location is
10936 Old State Road, Johannesburg, Michigan. You can reach out to her office (for appointments etc.) via phone at
(734) 755-3228.
Traci A Doran is licensed to practice in Michigan (license number 6801118756) 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 1023770393.
Healthcare Provider's Profile
Full Name | Traci A Doran |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 10936 Old State Road, Johannesburg, 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: 1023770393
- Provider Enumeration Date: 10/13/2021
- Last Update Date: 10/23/2024
Medicare PECOS Information:
- PECOS PAC ID: 1052847043
- Enrollment ID: I20241213002700
Medical Identifiers
Medical identifiers for Traci A Doran such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1023770393 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801118756 (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. Traci A Doran allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220824000871 |
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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. Traci A Doran 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 |
Traci A Doran, LMSW Po Box 196, Luzerne, MI 48636-0196 Ph: (734) 755-3228 | Traci A Doran, LMSW 10936 Old State Road, Johannesburg, MI 49751 Ph: (734) 755-3228 |
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