Anthony Harris, - Medicare Clinical Social Worker in Grimesland, NC

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Anthony Harris, is a medicare enrolled "Social Worker - Clinical" provider in Grimesland, North Carolina. He graduated from medical school in 2011 and has 14 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Eventus Wholehealth Pllc, A Fresh Start Behavioral Health Services, Pllc and his current practice location is 1440 Devon Dr, Grimesland, North Carolina. You can reach out to his office (for appointments etc.) via phone at (252) 414-9776.

Anthony Harris is licensed to practice in North Carolina (license number C008809) and he also participates in the medicare program. He may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1902283633.

Contact Information

Anthony Harris,
1440 Devon Dr,
Grimesland, NC 27837-9245
(252) 414-9776
(252) 329-9788

Map and Direction




Healthcare Provider's Profile

Full NameAnthony Harris
GenderMale
SpecialityClinical Social Worker
Experience14 Years
Location1440 Devon Dr, Grimesland, North Carolina
Accepts Medicare AssignmentsMay be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Anthony Harris graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1902283633
  • Provider Enumeration Date: 05/01/2015
  • Last Update Date: 10/10/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 5991096497
  • Enrollment ID: I20160613002275

Medical Identifiers

Medical identifiers for Anthony Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1902283633NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical C008809 (North Carolina)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Eventus Wholehealth Pllc6002169539309
A Fresh Start Behavioral Health Services, Pllc99314666466

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. Anthony Harris allows following entities to bill medicare on his behalf.
Entity NameA Fresh Start Behavioral Health Services, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710499223
PECOS PAC ID: 9931466646
Enrollment ID: O20180117002275
Entity NameEventus Wholehealth Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548759392
PECOS PAC ID: 6002169539
Enrollment ID: O20181030001281
Entity NameEventus Wh Southeast, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487494811
PECOS PAC ID: 5496294456
Enrollment ID: O20240822002165
Entity NameImperial Counseling & Coaching Services, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1952110561
PECOS PAC ID: 3870013410
Enrollment ID: O20250226000216

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. Anthony Harris 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 AddressPractice Location Address
Anthony Harris,
Po Box 1992,
Greenville, NC 27835-1992

Ph: (252) 414-9776		Anthony Harris,
1440 Devon Dr,
Grimesland, NC 27837-9245

Ph: (252) 414-9776

Reviews and Comments


Social Worker in Grimesland, NC

Kimberly Dawn Ennis, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 513 Lancelot Street, Grimesland, NC 27837
Phone: 252-847-2214    Fax: 252-847-7492
Mrs. Latonya Harris Grimes, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 642 Broadmoor Ct, Grimesland, NC 27837
Phone: 252-916-0784    Fax: 252-758-6681

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.