Angela Harris, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Port Clinton, Ohio. Her current practice location is
1854 E Perry St Ste 900, Port Clinton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 359-5110.
Angela Harris is licensed to practice in Ohio (license number I.2002334-SUPV) 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 1841684388.
Healthcare Provider's Profile
Full Name | Angela Harris |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1854 E Perry St Ste 900, Port Clinton, Ohio |
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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: 1841684388
- Provider Enumeration Date: 03/23/2015
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628422110
- Enrollment ID: I20231003001139
Medical Identifiers
Medical identifiers for Angela Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1841684388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 100779 (Ohio) | Secondary |
101YM0800X | Counselor - Mental Health | I.2002334 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | I.2002334-SUPV (Ohio) | 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. Angela Harris allows following entities to bill medicare on her behalf.
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210316002509 |
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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: O20220604000326 |
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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. Angela 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 |
Angela Harris, LISW-S 5001 E Wohlers Ave, Marblehead, OH 43440-9707 Ph: (419) 573-9163 | Angela Harris, LISW-S 1854 E Perry St Ste 900, Port Clinton, OH 43452-1586 Ph: (419) 359-5110 |
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