Telisa Dawn Pharris, MSW, LCSWA, LCASA is a medicare enrolled "Social Worker - Clinical" provider in Fayetteville, North Carolina. She graduated from healthcare school in 2012 and has 13 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Integrated Behavioral Healthcare Services, Pa and her current practice location is
1872 Spiralwood Dr, Fayetteville, North Carolina. You can reach out to her office (for appointments etc.) via phone at
(910) 988-3323.
Telisa Dawn Pharris is licensed to practice in North Carolina (license number C011310) and she also participates in the medicare program. She
may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1871944124.
Healthcare Provider's Profile
| Full Name | Telisa Dawn Pharris |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 13 Years |
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| Location | 1872 Spiralwood Dr, Fayetteville, North Carolina |
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| Accepts Medicare Assignments | May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Telisa Dawn Pharris graduated from medical school in 2012
NPI Data:
- NPI Number: 1871944124
- Provider Enumeration Date: 06/28/2016
- Last Update Date: 03/20/2024
Medicare PECOS Information:
- PECOS PAC ID: 4082964069
- Enrollment ID: I20180912003457
Medical Identifiers
Medical identifiers for Telisa Dawn Pharris such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1871944124 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YM0800X | Counselor - Mental Health | P010233 (North Carolina) | Secondary |
| 1041C0700X | Social Worker - Clinical | C011310 (North Carolina) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Integrated Behavioral Healthcare Services, Pa | 8729040316 | 4 |
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. Telisa Dawn Pharris allows following entities to bill medicare on her behalf.
| Entity Name | Cumberland County Hospital System Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1881946242 PECOS PAC ID: 1850204041 Enrollment ID: O20031112000693 |
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| Entity Name | Integrated Behavioral Healthcare Services, Pa |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1689842551 PECOS PAC ID: 8729040316 Enrollment ID: O20041027000101 |
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| Entity Name | Renew Counseling Center Of Nc Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1528470325 PECOS PAC ID: 7315224680 Enrollment ID: O20170516000477 |
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| Entity Name | Inspiring Change Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1982251104 PECOS PAC ID: 0244630713 Enrollment ID: O20210621002880 |
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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. Telisa Dawn Pharris 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 |
Telisa Dawn Pharris, MSW, LCSWA, LCASA 1872 Spiralwood Dr, Fayetteville, NC 28304-0498 Ph: (910) 988-3323 | Telisa Dawn Pharris, MSW, LCSWA, LCASA 1872 Spiralwood Dr, Fayetteville, NC 28304-0498 Ph: (910) 988-3323 |
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