Susan Ariana Tarisa Benham, is a medicare enrolled "Social Worker" provider in South Lake Tahoe, California. She graduated from healthcare school in 2021 and has 5 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Barton Healthcare System and her current practice location is
1900 Lake Tahoe Blvd, South Lake Tahoe, California. You can reach out to her office (for appointments etc.) via phone at
(530) 318-4824.
Susan Ariana Tarisa Benham is licensed to practice in California (license number ASW107313) 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 1154065639.
Healthcare Provider's Profile
| Full Name | Susan Ariana Tarisa Benham |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 5 Years |
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| Location | 1900 Lake Tahoe Blvd, South Lake Tahoe, California |
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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. |
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Medical Education and Training:
- Susan Ariana Tarisa Benham graduated from medical school in 2021
NPI Data:
- NPI Number: 1154065639
- Provider Enumeration Date: 04/21/2022
- Last Update Date: 06/30/2023
Medicare PECOS Information:
- PECOS PAC ID: 0840772984
- Enrollment ID: I20260306001924
Medical Identifiers
Medical identifiers for Susan Ariana Tarisa Benham such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1154065639 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 104100000X | Social Worker | ASW107313 (California) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Barton Healthcare System | 1850293960 | 24 |
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. Susan Ariana Tarisa Benham 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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Susan Ariana Tarisa Benham,
1900 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6305
Ph: (530) 318-4824 | Susan Ariana Tarisa Benham,
1900 Lake Tahoe Blvd,
South Lake Tahoe, CA 96150-6305
Ph: (530) 318-4824 |
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