Lisa Miller Bethea, MSW is a medicare enrolled "Social Worker - Clinical" provider in Jamaica, New York. Her current practice location is
17505 Wexford Ter, 1b, Jamaica, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 804-2909.
Lisa Miller Bethea is licensed to practice in New York (license number 076346) 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 1891094405.
Healthcare Provider's Profile
Full Name | Lisa Miller Bethea |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 17505 Wexford Ter, Jamaica, New York |
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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: 1891094405
- Provider Enumeration Date: 03/22/2011
- Last Update Date: 05/23/2018
Medicare PECOS Information:
- PECOS PAC ID: 9436377231
- Enrollment ID: I20140819002654
Medical Identifiers
Medical identifiers for Lisa Miller Bethea such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1891094405 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 19629 (New York) | Secondary |
1041C0700X | Social Worker - Clinical | 076346 (New York) | Primary |
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. Lisa Miller Bethea 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 |
Lisa Miller Bethea, MSW 17505 Wexford Ter, 1b, Jamaica, NY 11432-2871 Ph: (917) 804-2909 | Lisa Miller Bethea, MSW 17505 Wexford Ter, 1b, Jamaica, NY 11432 Ph: (917) 804-2909 |
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