Harley Jade Emberson, MSW - Medicare Clinical Social Worker in Port Washington, WI

Harley Jade Emberson, MSW is a medicare enrolled "Social Worker - Clinical" provider in Port Washington, Wisconsin. Her current practice location is 101 E Pier St, Port Washington, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 284-5789.

Harley Jade Emberson 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 1811634041.

Contact Information

Harley Jade Emberson, MSW
101 E Pier St,
Port Washington, WI 53074-1939
(262) 284-5789
Not Available



Healthcare Provider's Profile

Full NameHarley Jade Emberson
GenderFemale
SpecialitySocial Worker - Clinical
Location101 E Pier St, Port Washington, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1811634041
  • Provider Enumeration Date: 05/18/2022
  • Last Update Date: 05/27/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 8921459827
  • Enrollment ID: I20240104002849

Medical Identifiers

Medical identifiers for Harley Jade Emberson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811634041NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial 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. Harley Jade Emberson allows following entities to bill medicare on her behalf.
Entity NameComprehensive Counseling Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881600807
PECOS PAC ID: 9234164153
Enrollment ID: O20050929000491

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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. Harley Jade Emberson 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 AddressPractice Location Address
Harley Jade Emberson, MSW
5200 N Mohawk Ave Apt 4,
Glendale, WI 53217-5020

Ph: (608) 214-5824
Harley Jade Emberson, MSW
101 E Pier St,
Port Washington, WI 53074-1939

Ph: (262) 284-5789

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Social Worker in Port Washington, WI

Renee M Keranen, MSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 121 W Main St, Port Washington, WI 53074
Phone: 262-284-8133    Fax: 262-284-8104
Roger Blanchard, MSW, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Pier St, Port Washington, WI 53074
Phone: 262-284-3117    Fax: 262-284-3087
Sandra Jacques, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 121 W Main St, Suite 350, Port Washington, WI 53074
Phone: 262-284-8130    Fax: 262-284-8104
Mrs. Deanna Schultz-depies, LCSW
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 121 W Main St, #350, Port Washington, WI 53074
Phone: 262-284-8140    Fax: 262-284-8104
Timothy J Shininger, LCSW LMFT
Clinical Social Worker
Medicare: Medicare Enrolled
Practice Location: 1317 W Grand Ave, Port Washington, WI 53074
Phone: 262-284-5789    Fax: 262-284-5907
Sandra E Black, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 1317 W Grand Ave, Port Washington, WI 53074
Phone: 262-284-5789    Fax: 262-284-5907
Lorene Menchaca, LCSW, MSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 101 E Pier St, Port Washington, WI 53074
Phone: 262-284-3117    Fax: 262-284-3087

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