Tracey D Little, LCSW, CASAC is a medicare enrolled "Social Worker - Clinical" provider in Forest Hills, New York. Her current practice location is
11835 Queens Blvd, Ste 400, Forest Hills, New York. You can reach out to her office (for appointments etc.) via phone at
(718) 926-5462.
Tracey D Little is licensed to practice in New York (license number 083223-1) 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 1558646448.
Healthcare Provider's Profile
| Full Name | Tracey D Little |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 11835 Queens Blvd, Forest Hills, New York |
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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: 1558646448
- Provider Enumeration Date: 10/11/2011
- Last Update Date: 08/18/2015
Medicare PECOS Information:
- PECOS PAC ID: 1254632847
- Enrollment ID: I20151228001135
Medical Identifiers
Medical identifiers for Tracey D Little such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1558646448 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17106 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 083223-1 (New York) | 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. Tracey D Little allows following entities to bill medicare on her behalf.
| Entity Name | Community Concern Lcsw Services Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1851065064
PECOS PAC ID: 8628504099
Enrollment ID: O20241209002084 |
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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. Tracey D Little 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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Tracey D Little, LCSW, CASAC
20417 Hillside Ave, Suite 332,
Hollis, NY 11423-2213
Ph: (718) 926-5462 | Tracey D Little, LCSW, CASAC
11835 Queens Blvd, Ste 400,
Forest Hills, NY 11375-7200
Ph: (718) 926-5462 |
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