La' Tonya Fisher-grace, LISW is a medicare enrolled "Social Worker - Clinical" provider in Bedford Heights, Ohio. Her current practice location is
6238 Randolph Rd, Bedford Heights, Ohio. You can reach out to her office (for appointments etc.) via phone at
(216) 392-2992.
La' Tonya Fisher-grace is licensed to practice in Ohio (license number I.1901414) 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 1548809387.
Healthcare Provider's Profile
| Full Name | La' Tonya Fisher-grace |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 6238 Randolph Rd, Bedford Heights, Ohio |
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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: 1548809387
- Provider Enumeration Date: 12/26/2019
- Last Update Date: 12/26/2019
Medicare PECOS Information:
- PECOS PAC ID: 4183003536
- Enrollment ID: I20220615002478
Medical Identifiers
Medical identifiers for La' Tonya Fisher-grace such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1548809387 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Secondary |
| 261QA0600X | Clinic/center - Adult Day Care | (* (Not Available)) | Secondary |
| 347C00000X | Private Vehicle | (* (Not Available)) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Secondary |
| 374U00000X | Home Health Aide | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.1901414 (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. La' Tonya Fisher-grace allows following entities to bill medicare on her behalf.
| Entity Name | University Hospitals Medical Group Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669499414
PECOS PAC ID: 4789682493
Enrollment ID: O20061113000301 |
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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. La' Tonya Fisher-grace 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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La' Tonya Fisher-grace, LISW
6238 Randolph Rd,
Bedford Heights, OH 44146-3912
Ph: (216) 392-2992 | La' Tonya Fisher-grace, LISW
6238 Randolph Rd,
Bedford Heights, OH 44146-3912
Ph: (216) 392-2992 |
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