Mr James Louis Harrison Iii, MS, CSAC, LPC, NCGC- is a medicare enrolled "Social Worker" provider in Wauwatosa, Wisconsin. His current practice location is
10012 West Capitol Drive, Suite 101, West Grove Clinic, Llc, Wauwatosa, Wisconsin. You can reach out to his office (for appointments etc.) via phone at
(414) 810-4844.
Mr James Louis Harrison Iii is licensed to practice in Wisconsin (license number ) 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 1255371142.
Healthcare Provider's Profile
| Full Name | Mr James Louis Harrison Iii |
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| Gender | Male |
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| Speciality | Social Worker |
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| Location | 10012 West Capitol Drive, Suite 101, Wauwatosa, Wisconsin |
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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: 1255371142
- Provider Enumeration Date: 06/08/2006
- Last Update Date: 12/19/2014
Medicare PECOS Information:
- PECOS PAC ID: 9931545811
- Enrollment ID: I20240313004431
Medical Identifiers
Medical identifiers for Mr James Louis Harrison Iii such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255371142 | NPI | - | NPPES |
| 100024752 | Medicaid | WI | |
| 42019700 | Medicaid | WI | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 13018 (Wisconsin) | Secondary |
| 104100000X | Social Worker | (Wisconsin) | 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 James Louis Harrison Iii allows following entities to bill medicare on his behalf.
| Entity Name | Cornerstone Counseling Services Sc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1033127246
PECOS PAC ID: 1456256023
Enrollment ID: O20031205000446 |
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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 James Louis Harrison Iii 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 James Louis Harrison Iii, MS, CSAC, LPC, NCGC-
10012 West Capitol Drive, Suite 101, West Grove Clinic, Llc,
Wauwatosa, WI 53222
Ph: (414) 810-4844 | Mr James Louis Harrison Iii, MS, CSAC, LPC, NCGC-
10012 West Capitol Drive, Suite 101, West Grove Clinic, Llc,
Wauwatosa, WI 53222
Ph: (414) 810-4844 |
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