Maisy Lee Phravoraxay, MSW in Clearwater, FL - Medicare Counselor Provider

Maisy Lee Phravoraxay, MSW is a medicare enrolled "Counselor - Mental Health" provider in Clearwater, Florida. Her current practice location is 2188 58th St N, Clearwater, Florida. You can reach out to her office (for appointments etc.) via phone at (727) 327-7656.

Maisy Lee Phravoraxay is licensed to practice in Minnesota (license number 29219) 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 1104550482.

Contact Information

	Maisy Lee Phravoraxay, MSW
	2188 58th St N, Clearwater, FL 33760-3112
	(727) 327-7656
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Maisy Lee Phravoraxay
Gender	Female
Speciality	Counselor - Mental Health
Location	2188 58th St N, Clearwater, Florida
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1104550482
Provider Enumeration Date: 07/13/2022
Last Update Date: 08/01/2022

Medicare PECOS Information:

PECOS PAC ID: 2961847017
Enrollment ID: I20240228001552

Medical Identifiers

Medical identifiers for Maisy Lee Phravoraxay such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104550482	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
101YM0800X	Counselor - Mental Health	29219 (Minnesota)	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. Maisy Lee Phravoraxay allows following entities to bill medicare on her behalf.

Entity Name	West Side Community Health Services, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1821149964 PECOS PAC ID: 2062306434 Enrollment ID: O20040209000647

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. Maisy Lee Phravoraxay 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
Maisy Lee Phravoraxay, MSW Po Box 10970, Saint Petersburg, FL 33733-0970 Ph: (727) 327-7656	Maisy Lee Phravoraxay, MSW 2188 58th St N, Clearwater, FL 33760-3112 Ph: (727) 327-7656

Reviews and Comments

Counselor in Clearwater, FL

Ms. Rochelle Marie Ignatz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 51 S Main Ave Ste 304, Clearwater, FL 33765 Phone: 727-328-4672 Fax: 727-287-9302
Mrs. Maria P. Buda O'toole, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2270 Drew St, Suite C, Clearwater, FL 33765 Phone: 727-784-8244 Fax: 727-287-9302
Mrs. Maria D Ocampo, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1447 Gulf To Bay Blvd, Clearwater, FL 33755 Phone: 727-447-2380
Savana Isoph, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2855 Gulf To Bay Blvd, Clearwater, FL 33759 Phone: 561-305-3678
Ashley Richard, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2555 Oak Trl N Apt 55202, Clearwater, FL 33764 Phone: 913-382-9492
Mrs. Renee G Haxton, MS Counselor Medicare: Not Enrolled in Medicare Practice Location: 4910 Creekside Dr Ste D, Clearwater, FL 33760 Phone: 727-408-0537
Kate Elizabeth Winkler, BSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 1437 S Belcher Rd, Clearwater, FL 33764 Phone: 727-524-4464 Fax: 727-210-6945

Maisy Lee Phravoraxay, MSW - Medicare Counselor in Clearwater, FL