Brian Daniel Harrison, LLMSW is a medicare enrolled "Social Worker - Clinical" provider in Kalamazoo, Michigan. His current practice location is
5380 Holiday Ter, Kalamazoo, Michigan. You can reach out to his office (for appointments etc.) via phone at
(269) 409-3000.
Brian Daniel Harrison is licensed to practice in Michigan (license number 6851106843) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1639634967.
Healthcare Provider's Profile
Full Name | Brian Daniel Harrison |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 5380 Holiday Ter, Kalamazoo, Michigan |
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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: 1639634967
- Provider Enumeration Date: 01/31/2019
- Last Update Date: 11/23/2021
Medicare PECOS Information:
- PECOS PAC ID: 2769905587
- Enrollment ID: I20250402000268
Medical Identifiers
Medical identifiers for Brian Daniel Harrison such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1639634967 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 34673 (Illinois) | Secondary |
104100000X | Social Worker | 150.103338 (Illinois) | Secondary |
1041C0700X | Social Worker - Clinical | 6851106843 (Michigan) | 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. Brian Daniel Harrison allows following entities to bill medicare on his behalf.
Entity Name | Kathy Piecuch Counseling Services |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1659737666 PECOS PAC ID: 6002359569 Enrollment ID: O20240625002144 |
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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. Brian Daniel Harrison 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 |
Brian Daniel Harrison, LLMSW 5380 Holiday Ter Ste 28, Kalamazoo, MI 49009-2128 Ph: (269) 409-3000 | Brian Daniel Harrison, LLMSW 5380 Holiday Ter, Kalamazoo, MI 49009-2154 Ph: (269) 409-3000 |
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