Mr Anthony Fitzgerald Harris, LSW LADC CSWI MSW is a medicare enrolled "Social Worker" provider in Las Vegas, Nevada. His current practice location is
2965 S Jones Blvd, Suite E1, Las Vegas, Nevada. You can reach out to his office (for appointments etc.) via phone at
(702) 733-8098.
Mr Anthony Fitzgerald Harris is licensed to practice in Nevada (license number 4913S) 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 1407046535.
Healthcare Provider's Profile
| Full Name | Mr Anthony Fitzgerald Harris |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 2965 S Jones Blvd, Las Vegas, Nevada |
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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: 1407046535
- Provider Enumeration Date: 07/25/2007
- Last Update Date: 08/29/2023
Medicare PECOS Information:
- PECOS PAC ID: 0749557544
- Enrollment ID: I20170809001959
Medical Identifiers
Medical identifiers for Mr Anthony Fitzgerald Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1407046535 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 01168-L (Nevada) | Secondary |
| 1041C0700X | Social Worker - Clinical | IC-504 (Nevada) | Secondary |
| 104100000X | Social Worker | 4913S (Nevada) | 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. Mr Anthony Fitzgerald Harris allows following entities to bill medicare on his behalf.
| Entity Name | Oasis Counseling Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1336400951
PECOS PAC ID: 3971752684
Enrollment ID: O20121012000077 |
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| Entity Name | Diversified Community Services Cdc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295011906
PECOS PAC ID: 3971886201
Enrollment ID: O20170213001124 |
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| Entity Name | True Life Coaching Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548771454
PECOS PAC ID: 4981969771
Enrollment ID: O20180529000186 |
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| Entity Name | Behavioral Health Solutions Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1548765258
PECOS PAC ID: 4385998954
Enrollment ID: O20181116002509 |
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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. Mr Anthony Fitzgerald Harris 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 |
|---|
Mr Anthony Fitzgerald Harris, LSW LADC CSWI MSW
2780 S Jones Blvd Ste 115d,
Las Vegas, NV 89146-5625
Ph: (702) 935-0025 | Mr Anthony Fitzgerald Harris, LSW LADC CSWI MSW
2965 S Jones Blvd, Suite E1,
Las Vegas, NV 89146
Ph: (702) 733-8098 |
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