Fatima Jalloh, in Vancouver, WA - Medicare Social Worker Provider

Fatima Jalloh, is a medicare enrolled "Social Worker - Clinical" provider in Vancouver, Washington. Her current practice location is 16811 Se Mcgillivray Blvd, Vancouver, Washington. You can reach out to her office (for appointments etc.) via phone at (360) 735-8100.

Fatima Jalloh is licensed to practice in Washington (license number 70069541) 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 1922612035.

Contact Information

	Fatima Jalloh,
	16811 Se Mcgillivray Blvd, Vancouver, WA 98683-3404
	(360) 735-8100
	(360) 253-1781

Map and Direction

Healthcare Provider's Profile

Full Name	Fatima Jalloh
Gender	Female
Speciality	Social Worker - Clinical
Location	16811 Se Mcgillivray Blvd, Vancouver, Washington
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1922612035
Provider Enumeration Date: 09/04/2020
Last Update Date: 06/03/2026

Medicare PECOS Information:

PECOS PAC ID: 2062956766
Enrollment ID: I20240705001986

Medical Identifiers

Medical identifiers for Fatima Jalloh such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1922612035	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	70069541 (Washington)	Primary
1041C0700X	Social Worker - Clinical	L11796 (Oregon)	Secondary

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. Fatima Jalloh allows following entities to bill medicare on her behalf.

Entity Name	Adapt
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1720010549 PECOS PAC ID: 4587662887 Enrollment ID: O20061121000327

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. Fatima Jalloh 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
Fatima Jalloh, Po Box 1121, Roseburg, OR 97470-0254 Ph: (541) 440-3532	Fatima Jalloh, 16811 Se Mcgillivray Blvd, Vancouver, WA 98683-3404 Ph: (360) 735-8100

Reviews and Comments

Social Worker in Vancouver, WA

Rachel Krokus, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1601 E Fourth Plain Blvd, V3satp, Vancouver, WA 98661 Phone: 503-220-8262
Stephanie Bieber, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 750 Officers Row, Vancouver, WA 98661 Phone: 971-220-5882
Berit Renfro, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3200 Ne 109th Ave, Vancouver, WA 98682 Phone: 360-695-1014
Gayle Dukart-hardy, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2700 Ne Andresen Rd, Suite D-9, Vancouver, WA 98661 Phone: 360-694-8558
Mr. Joseph Melvin Klemz, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1498 Se Tech Center Pl Ste 300, Vancouver, WA 98683 Phone: 360-619-2226 Fax: 360-326-9691
Brody Tucker, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12607 Se Mill Plain Blvd, Vancouver, WA 98684 Phone: 360-558-2456
Angela Giacalone, LSWAIC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 Ne 68th St # B3, Vancouver, WA 98665 Phone: 360-209-2169

Fatima Jalloh, - Medicare Clinical Social Worker in Vancouver, WA