Larry Dale Hisel, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Amarillo, Texas. He graduated from healthcare school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. He is a member of the group practice Texas Panhandle Mental Health Mental Retardation and his current practice location is
110 Wayside Dr, Amarillo, Texas. You can reach out to his office (for appointments etc.) via phone at
(806) 683-5654.
Larry Dale Hisel is licensed to practice in Texas (license number 27228) and he also participates in the medicare program. He
may accept medicare assignments (which means he may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and his NPI Number is 1245760222.
Healthcare Provider's Profile
| Full Name | Larry Dale Hisel |
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| Gender | Male |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 110 Wayside Dr, Amarillo, Texas |
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| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Larry Dale Hisel graduated from medical school in 2012
NPI Data:
- NPI Number: 1245760222
- Provider Enumeration Date: 06/13/2017
- Last Update Date: 07/21/2022
Medicare PECOS Information:
- PECOS PAC ID: 8820369564
- Enrollment ID: I20170731000203
Medical Identifiers
Medical identifiers for Larry Dale Hisel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1245760222 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 8690 (Texas) | Secondary |
| 1041C0700X | Social Worker - Clinical | 27228 (Texas) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Texas Panhandle Mental Health Mental Retardation | 0446200067 | 6 |
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. Larry Dale Hisel allows following entities to bill medicare on his behalf.
| Entity Name | Texas Panhandle Mental Health Mental Retardation |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1134188139
PECOS PAC ID: 0446200067
Enrollment ID: O20050131000802 |
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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. Larry Dale Hisel 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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Larry Dale Hisel, LCSW
110 Wayside Dr,
Amarillo, TX 79106-6425
Ph: (806) 683-5654 | Larry Dale Hisel, LCSW
110 Wayside Dr,
Amarillo, TX 79106-6425
Ph: (806) 683-5654 |
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