Mimi Koontz, LCSW - Medicare Clinical Social Worker in Eugene, OR

Mimi Koontz, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Eugene, Oregon. Her current practice location is 550 River Rd, Eugene, Oregon. You can reach out to her office (for appointments etc.) via phone at (541) 743-2611.

Mimi Koontz is licensed to practice in Oregon (license number L4711) 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 1972884427.

Contact Information

Mimi Koontz, LCSW
550 River Rd,
Eugene, OR 97404-3212
(541) 743-2611
(541) 868-0340

Map and Direction




Healthcare Provider's Profile

Full NameMimi Koontz
GenderFemale
SpecialitySocial Worker - Clinical
Location550 River Rd, Eugene, Oregon
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1972884427
  • Provider Enumeration Date: 08/29/2011
  • Last Update Date: 07/15/2014
  Medicare PECOS Information:
  • PECOS PAC ID: 2961723192
  • Enrollment ID: I20150601000160

Medical Identifiers

Medical identifiers for Mimi Koontz such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1972884427NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical L4711 (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. Mimi Koontz allows following entities to bill medicare on her behalf.
Entity NameMission Medical Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114150190
PECOS PAC ID: 0749326106
Enrollment ID: O20100313000054

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. Mimi Koontz 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
Mimi Koontz, LCSW
550 River Rd,
Eugene, OR 97404-3212

Ph: (541) 743-2611
Mimi Koontz, LCSW
550 River Rd,
Eugene, OR 97404-3212

Ph: (541) 743-2611

Reviews and Comments


Social Worker in Eugene, OR

Sonja Anne Fry, LCSW
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Phone: 541-242-0467    
Ms. Mary Lawrence Tyler, LCSW
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Practice Location: 1788 Cal Young Rd, #185, Eugene, OR 97401
Phone: 808-284-6053    
Ms. Sarah Dalby, LCSW
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Medicare: Not Enrolled in Medicare
Practice Location: 346 Foxtail Dr, Eugene, OR 97405
Phone: 541-505-0848    
Sandra L Sanders, LCSW
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Medicare: Medicare Enrolled
Practice Location: 4010 Aerial Way, Eugene, OR 97402
Phone: 541-242-8311    Fax: 541-242-8335
Erin Couture, LCSW
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Medicare: Medicare Enrolled
Practice Location: 1200 Hilyard St, Suite 420, Eugene, OR 97401
Phone: 541-744-0828    
Kyle Hughes,
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Practice Location: 1234 High St, Eugene, OR 97401
Phone: 541-342-8437    
Brittany Miller, CSWA
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Medicare: Not Enrolled in Medicare
Practice Location: 240 Country Club Rd Ste B, Eugene, OR 97401
Phone: 541-343-7200    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.