Tara Lacross, is a medicare enrolled "Social Worker - Clinical" provider in Beverly, Massachusetts. Her current practice location is
100 Cummings Ctr Ste 307e, Beverly, Massachusetts. You can reach out to her office (for appointments etc.) via phone at
(978) 380-4173.
Tara Lacross is licensed to practice in * (Not Available) (license number ) 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 1104553981.
Healthcare Provider's Profile
Full Name | Tara Lacross |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 100 Cummings Ctr Ste 307e, Beverly, Massachusetts |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1104553981
- Provider Enumeration Date: 08/02/2022
- Last Update Date: 08/02/2022
Medicare PECOS Information:
- PECOS PAC ID: 5890216238
- Enrollment ID: I20250303000545
Medical Identifiers
Medical identifiers for Tara Lacross such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1104553981 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Tara Lacross allows following entities to bill medicare on her behalf.
Entity Name | North Shore Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1023187366 PECOS PAC ID: 8628138153 Enrollment ID: O20081113000562 |
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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. Tara Lacross 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 |
Tara Lacross, 15 Highland St, Salem, MA 01970-1515 Ph: (978) 380-4173 | Tara Lacross, 100 Cummings Ctr Ste 307e, Beverly, MA 01915-6107 Ph: (978) 380-4173 |
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