Mrs Lisa Andrea Carothers, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. Her current practice location is
1724 N Cook St, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 998-4348.
Mrs Lisa Andrea Carothers is licensed to practice in Idaho (license number LCSW-43205) 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 1104451970.
Healthcare Provider's Profile
Full Name | Mrs Lisa Andrea Carothers |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 1724 N Cook St, Spokane, Washington |
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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: 1104451970
- Provider Enumeration Date: 03/11/2020
- Last Update Date: 04/02/2023
Medicare PECOS Information:
- PECOS PAC ID: 5698140358
- Enrollment ID: I20230411001177
Medical Identifiers
Medical identifiers for Mrs Lisa Andrea Carothers such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104451970 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | LCSW-43205 (Idaho) | Secondary |
104100000X | Social Worker | LMSW-30939 (Washington) | Secondary |
1041C0700X | Social Worker - Clinical | LCSW-43205 (Idaho) | 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 Lisa Andrea Carothers allows following entities to bill medicare on her behalf.
Entity Name | Boundary Regional Community Health Center, Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1538447727 PECOS PAC ID: 2264341221 Enrollment ID: O20050211000195 |
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Entity Name | Mind Matters Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1376160820 PECOS PAC ID: 5890106918 Enrollment ID: O20201123000000 |
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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. Mrs Lisa Andrea Carothers 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 Lisa Andrea Carothers, LMSW 1724 N Cook St, Spokane, WA 99207-5314 Ph: (509) 998-4348 | Mrs Lisa Andrea Carothers, LMSW 1724 N Cook St, Spokane, WA 99207-5314 Ph: (509) 998-4348 |
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