Magdalene Kidd Vasconez, in Saint Helens, OR - Medicare Social Worker Provider

Magdalene Kidd Vasconez, is a medicare enrolled "Social Worker - Clinical" provider in Saint Helens, Oregon. Her current practice location is 58646 Mcnulty Way, Saint Helens, Oregon. You can reach out to her office (for appointments etc.) via phone at (912) 755-0906.

Magdalene Kidd Vasconez is licensed to practice in Georgia (license number CSW007219) 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 1265035158.

Contact Information

	Magdalene Kidd Vasconez,
	58646 Mcnulty Way, Saint Helens, OR 97051-6210
	(912) 755-0906
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Magdalene Kidd Vasconez
Gender	Female
Speciality	Social Worker - Clinical
Location	58646 Mcnulty Way, Saint Helens, Oregon
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1265035158
Provider Enumeration Date: 11/21/2020
Last Update Date: 11/25/2025

Medicare PECOS Information:

PECOS PAC ID: 9335552447
Enrollment ID: I20210111001455

Medical Identifiers

Medical identifiers for Magdalene Kidd Vasconez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265035158	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
1041C0700X	Social Worker - Clinical	CSW007219 (Georgia)	Primary
1041C0700X	Social Worker - Clinical	L15511 (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. Magdalene Kidd Vasconez allows following entities to bill medicare on her behalf.

Entity Name	Personal Recovery Network Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1881990869 PECOS PAC ID: 5092611384 Enrollment ID: O20120110000096

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. Magdalene Kidd Vasconez 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
Magdalene Kidd Vasconez, 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: () -	Magdalene Kidd Vasconez, 58646 Mcnulty Way, Saint Helens, OR 97051-6210 Ph: (912) 755-0906

Reviews and Comments

Social Worker in Saint Helens, OR

Todd A Jacobson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-397-5373
Mr. Richard Mark Braucher, MSW, QMHP, CADCI Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211
Ms. Jeanne Marie May, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211
Scott Hines, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211 Fax: 503-397-5373
Mr. Raymond Macdonald, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 58646 Mcnulty Way, Saint Helens, OR 97051 Phone: 503-397-5211
Tia Renee Morgan, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 475 S Columbia River Hwy Ste 100, Saint Helens, OR 97051 Phone: 503-366-5117

Magdalene Kidd Vasconez, - Medicare Clinical Social Worker in Saint Helens, OR