Brynn Dubose, is a medicare enrolled "Social Worker - Clinical" provider in Corvallis, Montana. Her current practice location is
1020 Main Street Box #702, Corvallis, Montana. You can reach out to her office (for appointments etc.) via phone at
(406) 361-0110.
Brynn Dubose is licensed to practice in Montana (license number BBH-LCSW-LIC-64715) 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 1437915303.
Healthcare Provider's Profile
| Full Name | Brynn Dubose |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 1020 Main Street Box #702, Corvallis, Montana |
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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: 1437915303
- Provider Enumeration Date: 02/27/2024
- Last Update Date: 10/07/2024
Medicare PECOS Information:
- PECOS PAC ID: 1658710389
- Enrollment ID: I20240415002083
Medical Identifiers
Medical identifiers for Brynn Dubose such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1437915303 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | BBH-LCSW-LIC-64715 (Montana) | 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. Brynn Dubose allows following entities to bill medicare on her behalf.
| Entity Name | Olive Branch Counseling Inc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1790563930 PECOS PAC ID: 6103267570 Enrollment ID: O20240516000807 |
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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. Brynn Dubose 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 |
Brynn Dubose, 1967 N 1st St Apt B, Hamilton, MT 59840-3198 Ph: (406) 361-0110 | Brynn Dubose, 1020 Main Street Box #702, Corvallis, MT 59828 Ph: (406) 361-0110 |
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