Tia Lynn Sprague, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Bryant Pond, Maine. Her current practice location is
8 Road Less Traveled Rd, Bryant Pond, Maine. You can reach out to her office (for appointments etc.) via phone at
(207) 330-5046.
Tia Lynn Sprague is licensed to practice in Maine (license number LC23948) 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 1861153413.
Healthcare Provider's Profile
Full Name | Tia Lynn Sprague |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 8 Road Less Traveled Rd, Bryant Pond, Maine |
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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: 1861153413
- Provider Enumeration Date: 01/05/2022
- Last Update Date: 02/20/2025
Medicare PECOS Information:
- PECOS PAC ID: 8628414208
- Enrollment ID: I20250226000401
Medical Identifiers
Medical identifiers for Tia Lynn Sprague such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1861153413 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | LC23948 (Maine) | 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. Tia Lynn Sprague allows following entities to bill medicare on her behalf.
Entity Name | The Counseling Center Of Nashua Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1144275389 PECOS PAC ID: 3274523758 Enrollment ID: O20201209003064 |
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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. Tia Lynn Sprague 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 |
Tia Lynn Sprague, LCSW 8 Road Less Traveled Rd, Bryant Pond, ME 04219-6729 Ph: (207) 330-5046 | Tia Lynn Sprague, LCSW 8 Road Less Traveled Rd, Bryant Pond, ME 04219-6729 Ph: (207) 330-5046 |
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