Shakedra Little Harris, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Americus, Georgia. Her current practice location is
546 Ga Highway 49 S, Americus, Georgia. You can reach out to her office (for appointments etc.) via phone at
(229) 938-9573.
Shakedra Little Harris is licensed to practice in Georgia (license number CSW005979) 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 1407282536.
Healthcare Provider's Profile
Full Name | Shakedra Little Harris |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 546 Ga Highway 49 S, Americus, Georgia |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1407282536
- Provider Enumeration Date: 09/20/2013
- Last Update Date: 03/15/2021
Medicare PECOS Information:
- PECOS PAC ID: 0648688853
- Enrollment ID: I20210427002894
Medical Identifiers
Medical identifiers for Shakedra Little Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1407282536 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | CSW005979 (Georgia) | 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. Shakedra Little Harris allows following entities to bill medicare on her behalf.
Entity Name | Grow Healthcare Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220315000829 |
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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. Shakedra Little 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 |
Shakedra Little Harris, LCSW 546 Ga Highway 49 S, Americus, GA 31719-9307 Ph: (229) 938-9573 | Shakedra Little Harris, LCSW 546 Ga Highway 49 S, Americus, GA 31719-9307 Ph: (229) 938-9573 |
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