Mrs Crystal Marie Harris, LCSW - Medicare Clinical Social Worker in Fort Bragg, CA

Mrs Crystal Marie Harris, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Fort Bragg, California. She graduated from medical school in 2006 and has 18 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mendocino Coast Clinics, Inc and her current practice location is 30750 Simpson Ln, Fort Bragg, California. You can reach out to her office (for appointments etc.) via phone at (970) 903-1761.

Mrs Crystal Marie Harris is licensed to practice in California (license number 101995) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1083267165.

Contact Information

Mrs Crystal Marie Harris, LCSW
30750 Simpson Ln,
Fort Bragg, CA 95437-7761
(970) 903-1761
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameMrs Crystal Marie Harris
GenderFemale
SpecialityClinical Social Worker
Experience18 Years
Location30750 Simpson Ln, Fort Bragg, California
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Crystal Marie Harris graduated from medical school in 2006
  NPI Data:
  • NPI Number: 1083267165
  • Provider Enumeration Date: 07/18/2019
  • Last Update Date: 05/31/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5991126005
  • Enrollment ID: I20210827003079

Medical Identifiers

Medical identifiers for Mrs Crystal Marie Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083267165NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical .09924293 (Colorado)Secondary
1041C0700XSocial Worker - Clinical 101995 (California)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mendocino Coast Clinics, Inc599161915715

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 Crystal Marie Harris allows following entities to bill medicare on her behalf.
Entity NameMendocino Coast Clinics, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1609595404
PECOS PAC ID: 5991619157
Enrollment ID: O20050512001033

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 Crystal Marie 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
Mrs Crystal Marie Harris, LCSW
30750 Simpson Ln,
Fort Bragg, CA 95437-7761

Ph: (970) 903-1761
Mrs Crystal Marie Harris, LCSW
30750 Simpson Ln,
Fort Bragg, CA 95437-7761

Ph: (970) 903-1761

Reviews and Comments


Social Worker in Fort Bragg, CA

Jessica Ehlers, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 32670 Highway 20 Unit 2, Fort Bragg, CA 95437
Phone: 707-964-1136    
Mr. Richard William Jaulus, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 205 South St, Fort Bragg, CA 95437
Phone: 707-964-1251    Fax: 707-961-2722
Ms. Mary Pat Palmer, M.A.
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 205 S Main St, Fort Bragg, CA 95437
Phone: 707-964-4027    Fax: 707-964-9214
Ms. Rena Blauner, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 205 South St, Fort Bragg, CA 95437
Phone: 707-964-1251    Fax: 707-961-2722
Ms. Lynne Barbara Bornheim, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 205 South St, Fort Bragg, CA 95437
Phone: 707-961-4088    
David Todd Stein, ASW
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 205 South St, Fort Bragg, CA 95437
Phone: 707-961-4088    Fax: 707-964-4558

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.