Anissa Ali, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Beverly, Massachusetts. Her current practice location is
800 Cummings Ctr, Suite 266t, Beverly, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 921-1190.
Anissa Ali is licensed to practice in * (Not Available) (license number ) 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 1194008789.
Healthcare Provider's Profile
Full Name | Anissa Ali |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 800 Cummings Ctr, Beverly, 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: 1194008789
- Provider Enumeration Date: 09/21/2011
- Last Update Date: 09/12/2022
Medicare PECOS Information:
- PECOS PAC ID: 1557745916
- Enrollment ID: I20220902000433
Medical Identifiers
Medical identifiers for Anissa Ali such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194008789 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Anissa Ali allows following entities to bill medicare on her behalf.
Entity Name | Cambridge Public Health Commission |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1487603585 PECOS PAC ID: 8921910894 Enrollment ID: O20040121000364 |
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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. Anissa Ali 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 |
Anissa Ali, LICSW 1493 Cambridge St, Cambridge, MA 02139-1047 Ph: (617) 665-1561 | Anissa Ali, LICSW 800 Cummings Ctr, Suite 266t, Beverly, MA 01915-6175 Ph: (978) 921-1190 |
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