Ms Thais Teressa Harris, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Boca Raton, Florida. Her current practice location is
7276 Encina Ln, Boca Raton, Florida. You can reach out to her office (for appointments etc.) via phone at
(561) 703-8043.
Ms Thais Teressa Harris is licensed to practice in Florida (license number SW15219) 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 1497220354.
Healthcare Provider's Profile
Full Name | Ms Thais Teressa Harris |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 7276 Encina Ln, Boca Raton, Florida |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1497220354
- Provider Enumeration Date: 10/08/2018
- Last Update Date: 12/02/2021
Medicare PECOS Information:
- PECOS PAC ID: 7315320967
- Enrollment ID: I20220816000425
Medical Identifiers
Medical identifiers for Ms Thais Teressa Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1497220354 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | SW15219 (Florida) | Secondary |
1041C0700X | Social Worker - Clinical | SW15219 (Florida) | 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. Ms Thais Teressa Harris allows following entities to bill medicare on her behalf.
Entity Name | Mtca Psychological Services P.a. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1740552322 PECOS PAC ID: 6406010834 Enrollment ID: O20120614000204 |
---|
Entity Name | Connected Warriors Inc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1790330504 PECOS PAC ID: 4789067331 Enrollment ID: O20220816000358 |
---|
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. Ms Thais Teressa 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 |
Ms Thais Teressa Harris, LCSW 7276 Encina Ln, Boca Raton, FL 33433-1625 Ph: (561) 703-8043 | Ms Thais Teressa Harris, LCSW 7276 Encina Ln, Boca Raton, FL 33433-1625 Ph: (561) 703-8043 |
Reviews and Comments