Larry Dale Hisel, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Amarillo, Texas. His current practice location is
110 Wayside Dr, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 683-5654.
Larry Dale Hisel is licensed to practice in Texas (license number 27228) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1245760222.
Healthcare Provider's Profile
Full Name | Larry Dale Hisel |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 110 Wayside Dr, Amarillo, Texas |
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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: 1245760222
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820369564
- Enrollment ID: I20170731000203
Medical Identifiers
Medical identifiers for Larry Dale Hisel such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1245760222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 8690 (Texas) | Secondary |
1041C0700X | Social Worker - Clinical | 27228 (Texas) | 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. Larry Dale Hisel allows following entities to bill medicare on his behalf.
Entity Name | Texas Panhandle Mental Health Mental Retardation |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1134188139 PECOS PAC ID: 0446200067 Enrollment ID: O20050131000802 |
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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. Larry Dale Hisel 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 |
Larry Dale Hisel, LCSW 110 Wayside Dr, Amarillo, TX 79106-6425 Ph: (806) 683-5654 | Larry Dale Hisel, LCSW 110 Wayside Dr, Amarillo, TX 79106-6425 Ph: (806) 683-5654 |
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