Christine Elaine Liss, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Roswell, Georgia. Her current practice location is
11111 Houze Rd Ste 225, Roswell, Georgia. You can reach out to her office (for appointments etc.) via phone at
(770) 603-0123.
Christine Elaine Liss is licensed to practice in Georgia (license number CSW008482) 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 1356093702.
Healthcare Provider's Profile
| Full Name | Christine Elaine Liss |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 11111 Houze Rd Ste 225, Roswell, Georgia |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1356093702
- Provider Enumeration Date: 01/26/2022
- Last Update Date: 03/08/2023
Medicare PECOS Information:
- PECOS PAC ID: 0042684763
- Enrollment ID: I20230321000993
Medical Identifiers
Medical identifiers for Christine Elaine Liss such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1356093702 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | MSW007511 (Georgia) | Secondary |
| 1041C0700X | Social Worker - Clinical | CSW008482 (Georgia) | 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. Christine Elaine Liss allows following entities to bill medicare on her behalf.
| Entity Name | Personal Recovery Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096 |
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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. Christine Elaine Liss 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 |
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Christine Elaine Liss, LCSW
4184 Nashoba Dr Ne,
Roswell, GA 30075-1667
Ph: (404) 786-0882 | Christine Elaine Liss, LCSW
11111 Houze Rd Ste 225,
Roswell, GA 30076-5618
Ph: (770) 603-0123 |
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