Brianna M Ison, DSW, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Tempe, Arizona. Her current practice location is
2120 S Mcclintock Dr, Suite 105, Tempe, Arizona. You can reach out to her office (for appointments etc.) via phone at
(480) 804-0326.
Brianna M Ison is licensed to practice in Arizona (license number LCSW-14075) 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 1225337389.
Healthcare Provider's Profile
| Full Name | Brianna M Ison |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 2120 S Mcclintock Dr, Tempe, Arizona |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1225337389
- Provider Enumeration Date: 03/15/2011
- Last Update Date: 01/09/2024
Medicare PECOS Information:
- PECOS PAC ID: 8224254347
- Enrollment ID: I20140725002402
Medical Identifiers
Medical identifiers for Brianna M Ison such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1225337389 | NPI | - | NPPES |
| 907312 | Medicaid | AZ | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | LMSW-13242 (Arizona) | Secondary |
| 1041C0700X | Social Worker - Clinical | LCSW-14075 (Arizona) | 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. Brianna M Ison allows following entities to bill medicare on her behalf.
| Entity Name | Crisis Preparation And Recovery Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1588720650
PECOS PAC ID: 3173624384
Enrollment ID: O20070718000308 |
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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. Brianna M Ison 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 |
|---|
Brianna M Ison, DSW, LCSW
1400 E Southern Ave, Ste. 735,
Tempe, AZ 85282-5691
Ph: (480) 804-0326 | Brianna M Ison, DSW, LCSW
2120 S Mcclintock Dr, Suite 105,
Tempe, AZ 85282-2692
Ph: (480) 804-0326 |
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