Mrs Amy Sarah Mild, LCSW is a medicare enrolled "Social Worker - Clinical" provider in Cornelius, Oregon. She graduated from medical school in 2002 and has 22 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Legacy Good Samaritan Hospital And Medical Center and her current practice location is
1151 N Adair St, Cornelius, Oregon. You can reach out to her office (for appointments etc.) via phone at
(503) 359-5564.
Mrs Amy Sarah Mild is licensed to practice in Oregon (license number L6225) and she also participates in the medicare program. She
accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1982736872.
Healthcare Provider's Profile
Full Name | Mrs Amy Sarah Mild |
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Gender | Female |
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Speciality | Clinical Social Worker |
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Experience | 22 Years |
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Location | 1151 N Adair St, Cornelius, Oregon |
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Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Mrs Amy Sarah Mild graduated from medical school in 2002
NPI Data:
- NPI Number: 1982736872
- Provider Enumeration Date: 03/09/2007
- Last Update Date: 11/02/2015
Medicare PECOS Information:
- PECOS PAC ID: 4981914413
- Enrollment ID: I20151112000747
Medical Identifiers
Medical identifiers for Mrs Amy Sarah Mild such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1982736872 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | L6225 (Oregon) | Primary |
Group Practice Association
Group Practice Name | Group PECOS PAC ID | No. of Members |
Legacy Good Samaritan Hospital And Medical Center | 0547179939 | 128 |
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. Mrs Amy Sarah Mild allows following entities to bill medicare on her behalf.
Entity Name | Legacy Clinics Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1902827272 PECOS PAC ID: 0244144004 Enrollment ID: O20031117000089 |
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Entity Name | Legacy Good Samaritan Hospital And Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1780608216 PECOS PAC ID: 0547179939 Enrollment ID: O20031125000416 |
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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. Mrs Amy Sarah Mild 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 |
Mrs Amy Sarah Mild, LCSW Po Box 568, Cornelius, OR 97113-0568 Ph: (503) 352-8657 | Mrs Amy Sarah Mild, LCSW 1151 N Adair St, Cornelius, OR 97113-8900 Ph: (503) 359-5564 |
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