Eliza Mae Hersh, LICSW is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. She graduated from healthcare school in 2005 and has 21 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Mindful Therapy Group Pc and her current practice location is
1221 W 12th Ave, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 868-2927.
Eliza Mae Hersh is licensed to practice in Washington (license number LW61537973) 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 1699245878.
Healthcare Provider's Profile
| Full Name | Eliza Mae Hersh |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 21 Years |
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| Location | 1221 W 12th Ave, Spokane, Washington |
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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. |
Medical Education and Training:
- Eliza Mae Hersh graduated from medical school in 2005
NPI Data:
- NPI Number: 1699245878
- Provider Enumeration Date: 11/29/2018
- Last Update Date: 05/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 3274075411
- Enrollment ID: I20240604001001
Medical Identifiers
Medical identifiers for Eliza Mae Hersh such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1699245878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CP60783230 (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW61537973 (Washington) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Mindful Therapy Group Pc | 4981872561 | 440 |
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. Eliza Mae Hersh allows following entities to bill medicare on her behalf.
| Entity Name | Mindful Therapy Group Pc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1316238678 PECOS PAC ID: 4981872561 Enrollment ID: O20110726000730 |
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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. Eliza Mae Hersh 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 |
Eliza Mae Hersh, LICSW 1221 W 12th Ave, Spokane, WA 99204-3907 Ph: (509) 868-2927 | Eliza Mae Hersh, LICSW 1221 W 12th Ave, Spokane, WA 99204-3907 Ph: (509) 868-2927 |
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