Ms Lisa Marie Mcdaniel, LICSW, CDP, CMHS is a medicare enrolled "Social Worker - Clinical" provider in Spokane, Washington. Her current practice location is
3754 W Indian Trail Rd, Spokane, Washington. You can reach out to her office (for appointments etc.) via phone at
(509) 328-7041.
Ms Lisa Marie Mcdaniel is licensed to practice in Washington (license number LW60807307) 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 1710365028.
Healthcare Provider's Profile
| Full Name | Ms Lisa Marie Mcdaniel |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 3754 W Indian Trail Rd, Spokane, Washington |
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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: 1710365028
- Provider Enumeration Date: 05/07/2015
- Last Update Date: 04/29/2020
Medicare PECOS Information:
- PECOS PAC ID: 6406267665
- Enrollment ID: I20201119003251
Medical Identifiers
Medical identifiers for Ms Lisa Marie Mcdaniel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1710365028 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (Washington) | Secondary |
| 1041C0700X | Social Worker - Clinical | LW60807307 (Washington) | 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. Ms Lisa Marie Mcdaniel allows following entities to bill medicare on her behalf.
| Entity Name | Excelsior Wellness |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1326267055
PECOS PAC ID: 0749511418
Enrollment ID: O20191010000957 |
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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. Ms Lisa Marie Mcdaniel 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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Ms Lisa Marie Mcdaniel, LICSW, CDP, CMHS
3754 W Indian Trail Rd,
Spokane, WA 99208-4736
Ph: (509) 559-3100 | Ms Lisa Marie Mcdaniel, LICSW, CDP, CMHS
3754 W Indian Trail Rd,
Spokane, WA 99208-4736
Ph: (509) 328-7041 |
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