Mrs Laurie B Fieldman, is a medicare enrolled "Social Worker - Clinical" provider in Heppner, Oregon. She graduated from medical school in 1993 and has 32 years of diverse experience with area of expertise as Clinical Social Worker. She is a member of the group practice Tiffany Kettermann Llc and her current practice location is
550 W Sperry St, Heppner, Oregon. You can reach out to her office (for appointments etc.) via phone at
(541) 676-9161.
Mrs Laurie B Fieldman is licensed to practice in Oregon (license number L12054) 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 1225402449.
Healthcare Provider's Profile
| Full Name | Mrs Laurie B Fieldman |
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| Gender | Female |
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| Speciality | Clinical Social Worker |
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| Experience | 32 Years |
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| Location | 550 W Sperry St, Heppner, 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 Laurie B Fieldman graduated from medical school in 1993
NPI Data:
- NPI Number: 1225402449
- Provider Enumeration Date: 11/27/2015
- Last Update Date: 01/21/2021
Medicare PECOS Information:
- PECOS PAC ID: 9537463237
- Enrollment ID: I20220131000937
Medical Identifiers
Medical identifiers for Mrs Laurie B Fieldman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1225402449 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | 149006769 (Illinois) | Secondary |
| 1041C0700X | Social Worker - Clinical | L12054 (Oregon) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
| Tiffany Kettermann Llc | 0941685184 | 5 |
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 Laurie B Fieldman allows following entities to bill medicare on her behalf.
| Entity Name | Community Counseling Solutions |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1487992665 PECOS PAC ID: 0446484885 Enrollment ID: O20150825005568 |
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| Entity Name | Tiffany Kettermann, Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1003461740 PECOS PAC ID: 0941685184 Enrollment ID: O20220923001810 |
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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 Laurie B Fieldman 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 Laurie B Fieldman, 1025 Potomac Ct, Grayslake, IL 60030-7921 Ph: (847) 274-6582 | Mrs Laurie B Fieldman, 550 W Sperry St, Heppner, OR 97836 Ph: (541) 676-9161 |
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