Miss Lashan Archie, is a medicare enrolled "Social Worker - Clinical" provider in Pearland, Texas. Her current practice location is
14011 Mountain Sage Ct, Pearland, Texas. You can reach out to her office (for appointments etc.) via phone at
(832) 444-7060.
Miss Lashan Archie 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 1770286536.
Healthcare Provider's Profile
Full Name | Miss Lashan Archie |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 14011 Mountain Sage Ct, Pearland, 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: 1770286536
- Provider Enumeration Date: 03/22/2023
- Last Update Date: 09/13/2024
Medicare PECOS Information:
- PECOS PAC ID: 2163889288
- Enrollment ID: I20230606000964
Medical Identifiers
Medical identifiers for Miss Lashan Archie such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1770286536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | 20697 (Texas) | Secondary |
104100000X | Social Worker | 20697 (Texas) | 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. Miss Lashan Archie allows following entities to bill medicare on her behalf.
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: O20220525002138 |
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Entity Name | Med O Psychological Services Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1407584139 PECOS PAC ID: 9537544556 Enrollment ID: O20220912002514 |
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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. Miss Lashan Archie 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 |
Miss Lashan Archie, 14011 Mountain Sage Court, Pearland, TX 77584 Ph: (832) 444-7060 | Miss Lashan Archie, 14011 Mountain Sage Ct, Pearland, TX 77584-3955 Ph: (832) 444-7060 |
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