Tashua Berry Dennis, LICSW, LPC is a medicare enrolled "Social Worker - Clinical" provider in Anniston, Alabama. Her current practice location is
1316 Noble St, Anniston, Alabama. You can reach out to her office (for appointments etc.) via phone at
(256) 236-0221.
Tashua Berry Dennis is licensed to practice in Alabama (license number 5088C) 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 1063861003.
Healthcare Provider's Profile
Full Name | Tashua Berry Dennis |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1316 Noble St, Anniston, Alabama |
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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: 1063861003
- Provider Enumeration Date: 06/09/2016
- Last Update Date: 01/04/2024
Medicare PECOS Information:
- PECOS PAC ID: 3678911690
- Enrollment ID: I20240409003999
Medical Identifiers
Medical identifiers for Tashua Berry Dennis such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063861003 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | 3488 (Alabama) | Secondary |
1041C0700X | Social Worker - Clinical | 5088C (Alabama) | 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. Tashua Berry Dennis allows following entities to bill medicare on her behalf.
Entity Name | Quality Of Life Health Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1447200977 PECOS PAC ID: 7810890902 Enrollment ID: O20040324000006 |
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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. Tashua Berry Dennis 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 |
Tashua Berry Dennis, LICSW, LPC 308 Wilson Dr Sw, Jacksonville, AL 36265-2752 Ph: (256) 225-8769 | Tashua Berry Dennis, LICSW, LPC 1316 Noble St, Anniston, AL 36201-4643 Ph: (256) 236-0221 |
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