Mrs Tiffany Sharrice Harrison, LCSW LADC/MH is a medicare enrolled "Social Worker - Clinical" provider in Del City, Oklahoma. Her current practice location is
5509 Main St Ste 103, Del City, Oklahoma. You can reach out to her office (for appointments etc.) via phone at
(405) 627-9308.
Mrs Tiffany Sharrice Harrison is licensed to practice in Oklahoma (license number 8814) 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 1104174556.
Healthcare Provider's Profile
| Full Name | Mrs Tiffany Sharrice Harrison |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 5509 Main St Ste 103, Del City, Oklahoma |
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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: 1104174556
- Provider Enumeration Date: 08/16/2012
- Last Update Date: 08/06/2024
Medicare PECOS Information:
- PECOS PAC ID: 5799154225
- Enrollment ID: I20221206000868
Medical Identifiers
Medical identifiers for Mrs Tiffany Sharrice Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1104174556 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1423 (Oklahoma) | Secondary |
| 104100000X | Social Worker | 6514 (Oklahoma) | Secondary |
| 1041C0700X | Social Worker - Clinical | 8814 (Oklahoma) | 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. Mrs Tiffany Sharrice Harrison allows following entities to bill medicare on her behalf.
| Entity Name | Intentional Paths To Recovery Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1124745435
PECOS PAC ID: 5496124919
Enrollment ID: O20221206000341 |
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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 Tiffany Sharrice Harrison 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 |
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Mrs Tiffany Sharrice Harrison, LCSW LADC/MH
2000 Eastridge Pl,
Oklahoma City, OK 73141-2226
Ph: (405) 625-0710 | Mrs Tiffany Sharrice Harrison, LCSW LADC/MH
5509 Main St Ste 103,
Del City, OK 73115-5511
Ph: (405) 627-9308 |
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