Marie Sandra Fuentes Harris, LCSW in Lake Forest, IL

Marie Sandra Fuentes Harris, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Lake Forest, Illinois. Her current practice location is 1000 N Westmoreland Rd # Level1, Lake Forest, Illinois. You can reach out to her office (for appointments etc.) via phone at (847) 582-2134.

Marie Sandra Fuentes Harris is licensed to practice in Illinois (license number 149010905) 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 1962803882.

Contact Information

	Marie Sandra Fuentes Harris, LCSW
	1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658
	(847) 582-2134
	(847) 535-7285

Map and Direction

Healthcare Provider's Profile

Full Name	Marie Sandra Fuentes Harris
Gender	Female
Speciality	Social Worker - Clinical
Location	1000 N Westmoreland Rd # Level1, Lake Forest, Illinois
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1962803882
Provider Enumeration Date: 09/10/2014
Last Update Date: 09/13/2022

Medicare PECOS Information:

PECOS PAC ID: 8628392131
Enrollment ID: I20150109001147

Medical Identifiers

Medical identifiers for Marie Sandra Fuentes Harris such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1962803882	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	149010905 (Illinois)	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. Marie Sandra Fuentes Harris allows following entities to bill medicare on her behalf.

Entity Name	Northwestern Medical Faculty Foundation
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1346235314 PECOS PAC ID: 4587576814 Enrollment ID: O20031105000541

Entity Name	Nancy Eschbach Lcsw And Associates
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003265497 PECOS PAC ID: 9638433915 Enrollment ID: O20180515000301

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. Marie Sandra Fuentes 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 Address	Practice Location Address
Marie Sandra Fuentes Harris, LCSW 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658 Ph: (847) 582-2134	Marie Sandra Fuentes Harris, LCSW 1000 N Westmoreland Rd # Level1, Lake Forest, IL 60045-1658 Ph: (847) 582-2134

Reviews and Comments

Social Worker in Lake Forest, IL

Alice K Virgil, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 950 N Western Ave, Suite 1a, Lake Forest, IL 60045 Phone: 773-919-9170 Fax: 773-919-9170
Esther Harris, LCSW Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 800 N Westmoreland Rd Ste 201, Lake Forest, IL 60045 Phone: 847-535-6489 Fax: 847-535-7655
Supriya Mohan, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 900 N Westmoreland Rd Ste 220, Lake Forest, IL 60045 Phone: 847-535-8060 Fax: 847-535-8070
Jianna Dominique Santello, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1145 Pine Oaks Cir, Lake Forest, IL 60045 Phone: 847-767-5083
Brooke M Jacobs, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1000 N Westmoreland Rd, Lake Forest, IL 60045 Phone: 847-535-7058
Karen Spinelli-falberg, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 840 S Waukegan Rd Ste 203, Lake Forest, IL 60045 Phone: 847-420-5088 Fax: 847-235-2138
Ms. Shannon Nicole Maximov, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 900 N Westmoreland Rd Ste 114, Lake Forest, IL 60045 Phone: 312-695-7542 Fax: 312-694-2535

Marie Sandra Fuentes Harris, LCSW - Medicare Clinical Social Worker in Lake Forest, IL