Mrs Tammy Rae Lias, LMFT, QMHP is a medicare enrolled "Marriage & Family Therapist" provider in Baltic, South Dakota. Her current practice location is
47558 254th St, Baltic, South Dakota. You can reach out to her office (for appointments etc.) via phone at
(605) 351-0475.
Mrs Tammy Rae Lias is licensed to practice in South Dakota (license number LMFT1192) 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 1578633160.
Healthcare Provider's Profile
Full Name | Mrs Tammy Rae Lias |
---|
Gender | Female |
---|
Speciality | Marriage & Family Therapist |
---|
Location | 47558 254th St, Baltic, South Dakota |
---|
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1578633160
- Provider Enumeration Date: 11/09/2006
- Last Update Date: 04/30/2024
Medicare PECOS Information:
- PECOS PAC ID: 0941268395
- Enrollment ID: I20240514003326
Medical Identifiers
Medical identifiers for Mrs Tammy Rae Lias such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578633160 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT1192 (South Dakota) | 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. Mrs Tammy Rae Lias allows following entities to bill medicare on her behalf.
Entity Name | Journey Therapy And Consulting Llc |
---|
Entity Type | Part B Supplier - Clinic/group Practice |
---|
Entity Identifiers | NPI Number: 1063978393 PECOS PAC ID: 6305287921 Enrollment ID: O20240514003237 |
---|
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. Mrs Tammy Rae Lias 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 |
Mrs Tammy Rae Lias, LMFT, QMHP 47558 254th St, Baltic, SD 57003-5930 Ph: () - | Mrs Tammy Rae Lias, LMFT, QMHP 47558 254th St, Baltic, SD 57003-5930 Ph: (605) 351-0475 |
Reviews and Comments