Jeanne Mullally, LCSW is a medicare enrolled "Counselor - Addiction (substance Use Disorder)" provider in Albany, Oregon. Her current practice location is
104 4th Ave Sw, Room 238, Albany, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 967-3819.
Jeanne Mullally is licensed to practice in Oregon (license number 2225) 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 1528515566.
Healthcare Provider's Profile
| Full Name | Jeanne Mullally |
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| Gender | Female |
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| Speciality | Counselor - Addiction (substance Use Disorder) |
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| Location | 104 4th Ave Sw, Albany, Oregon |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1528515566
- Provider Enumeration Date: 09/07/2016
- Last Update Date: 03/04/2019
Medicare PECOS Information:
- PECOS PAC ID: 7416222328
- Enrollment ID: I20171003005864
Medical Identifiers
Medical identifiers for Jeanne Mullally such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1528515566 | NPI | - | NPPES |
| 101279 | Medicaid | OR | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 1041C0700X | Social Worker - Clinical | L2225 (Oregon) | Secondary |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 2225 (Oregon) | 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. Jeanne Mullally allows following entities to bill medicare on her behalf.
| Entity Name | County Of Linn |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1760575781
PECOS PAC ID: 7911984638
Enrollment ID: O20040701000264 |
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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. Jeanne Mullally 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 |
|---|
Jeanne Mullally, LCSW
Po Box 100,
Albany, OR 97321-0031
Ph: (541) 967-3819 | Jeanne Mullally, LCSW
104 4th Ave Sw, Room 238,
Albany, OR 97321-2804
Ph: (541) 967-3819 |
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