Tavia Briscoe, is a medicare enrolled "Social Worker - Clinical" provider in Glastonbury, Connecticut. Her current practice location is
33 Pratt St, Glastonbury, Connecticut. You can reach out to her office (for appointments etc.) via phone at
(860) 731-5522.
Tavia Briscoe is licensed to practice in Connecticut (license number 010423) 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 1073965661.
Healthcare Provider's Profile
Full Name | Tavia Briscoe |
---|
Gender | Female |
---|
Speciality | Social Worker - Clinical |
---|
Location | 33 Pratt St, Glastonbury, Connecticut |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1073965661
- Provider Enumeration Date: 07/07/2016
- Last Update Date: 06/10/2020
Medicare PECOS Information:
- PECOS PAC ID: 9830436161
- Enrollment ID: I20190124002695
Medical Identifiers
Medical identifiers for Tavia Briscoe such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1073965661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101Y00000X | Counselor | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 010423 (Connecticut) | 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. Tavia Briscoe allows following entities to bill medicare on her behalf.
Entity Name | Community Health Resources, Inc. |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1215979810 PECOS PAC ID: 5597652149 Enrollment ID: O20040301000155 |
---|
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. Tavia Briscoe 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 |
Tavia Briscoe, 33 Pratt St, Glastonbury, CT 06033-1014 Ph: (860) 731-5522 | Tavia Briscoe, 33 Pratt St, Glastonbury, CT 06033-1014 Ph: (860) 731-5522 |
Reviews and Comments