Dr Leslie Jennice Harrison, LMFT is a medicare enrolled "Marriage & Family Therapist" provider in St Johns, Florida. Her current practice location is
120 Everest Ln Ste 3, St Johns, Florida. You can reach out to her office (for appointments etc.) via phone at
(850) 771-8882.
Dr Leslie Jennice Harrison is licensed to practice in Florida (license number MT2943) 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 1801022819.
Healthcare Provider's Profile
Full Name | Dr Leslie Jennice Harrison |
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Gender | Female |
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Speciality | Marriage & Family Therapist |
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Location | 120 Everest Ln Ste 3, St Johns, Florida |
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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: 1801022819
- Provider Enumeration Date: 06/04/2009
- Last Update Date: 08/16/2024
Medicare PECOS Information:
- PECOS PAC ID: 8729527668
- Enrollment ID: I20240823001115
Medical Identifiers
Medical identifiers for Dr Leslie Jennice Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1801022819 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | MFT000969 (Georgia) | Secondary |
106H00000X | Marriage & Family Therapist | MT2943 (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. Dr Leslie Jennice Harrison allows following entities to bill medicare on her behalf.
Entity Name | Quality Bhs Florida Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1689297541 PECOS PAC ID: 4082030721 Enrollment ID: O20200812002561 |
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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. Dr Leslie Jennice Harrison 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 |
Dr Leslie Jennice Harrison, LMFT 120 Everest Ln Ste 3, St Johns, FL 32259-4063 Ph: (850) 771-8882 | Dr Leslie Jennice Harrison, LMFT 120 Everest Ln Ste 3, St Johns, FL 32259-4063 Ph: (850) 771-8882 |
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