Angela Harris, LISW-S is a medicare enrolled "Social Worker - Clinical" provider in Port Clinton, Ohio. She graduated from healthcare school in 2017 and has 8 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Sondermind Provider Network Llc and her current practice location is
1854 E Perry St Ste 900, Port Clinton, Ohio. You can reach out to her office (for appointments etc.) via phone at
(419) 359-5110.
Angela Harris is licensed to practice in Ohio (license number I.2002334-SUPV) 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 1841684388.
Healthcare Provider's Profile
| Full Name | Angela Harris |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 8 Years |
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| Location | 1854 E Perry St Ste 900, Port Clinton, Ohio |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Angela Harris graduated from medical school in 2017
NPI Data:
- NPI Number: 1841684388
- Provider Enumeration Date: 03/23/2015
- Last Update Date: 08/21/2023
Medicare PECOS Information:
- PECOS PAC ID: 8628422110
- Enrollment ID: I20231003001139
Medical Identifiers
Medical identifiers for Angela Harris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1841684388 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 100779 (Ohio) | Secondary |
| 101YM0800X | Counselor - Mental Health | I.2002334 (Ohio) | Secondary |
| 1041C0700X | Social Worker - Clinical | I.2002334-SUPV (Ohio) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sondermind Provider Network Llc | 9537572490 | 874 |
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. Angela Harris allows following entities to bill medicare on her behalf.
| Entity Name | Sondermind Provider Network Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760854442
PECOS PAC ID: 9537572490
Enrollment ID: O20210316002509 |
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| Entity Name | Grow Healthcare Group Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1245845932
PECOS PAC ID: 3476961368
Enrollment ID: O20220604000326 |
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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. Angela 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 |
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Angela Harris, LISW-S
5001 E Wohlers Ave,
Marblehead, OH 43440-9707
Ph: (419) 573-9163 | Angela Harris, LISW-S
1854 E Perry St Ste 900,
Port Clinton, OH 43452-1586
Ph: (419) 359-5110 |
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