Mrs Melicia Ivette Tanner, MS is a medicare enrolled "Social Worker" provider in Seneca, South Carolina. Her current practice location is
139 Lila Doyle Dr, Seneca, South Carolina. You can reach out to her office (for appointments etc.) via phone at
(864) 482-3483.
Mrs Melicia Ivette Tanner is licensed to practice in South Carolina (license number 7038) 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 1578921342.
Healthcare Provider's Profile
| Full Name | Mrs Melicia Ivette Tanner |
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| Gender | Female |
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| Speciality | Social Worker |
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| Location | 139 Lila Doyle Dr, Seneca, South Carolina |
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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: 1578921342
- Provider Enumeration Date: 02/08/2016
- Last Update Date: 11/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 7517301997
- Enrollment ID: I20240214001676
Medical Identifiers
Medical identifiers for Mrs Melicia Ivette Tanner such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1578921342 | NPI | - | NPPES |
| 301100 | Medicaid | SC | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YP2500X | Counselor - Professional | 7038 (South Carolina) | Secondary |
| 104100000X | Social Worker | 7038 (South Carolina) | Primary |
| 101YM0800X | Counselor - Mental Health | 7038 (South Carolina) | Secondary |
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. Mrs Melicia Ivette Tanner allows following entities to bill medicare on her behalf.
| Entity Name | Prisma Health University Medical Group |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1295763217
PECOS PAC ID: 8325950983
Enrollment ID: O20031103000238 |
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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. Mrs Melicia Ivette Tanner 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 |
|---|
Mrs Melicia Ivette Tanner, MS
300 E Mcbee Ave Fl 4,
Greenville, SC 29601-2842
Ph: (864) 522-8603 | Mrs Melicia Ivette Tanner, MS
139 Lila Doyle Dr,
Seneca, SC 29672-9495
Ph: (864) 482-3483 |
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